DESCRIPTION MEDICAL

The pain in the spine are a fairly common affliction. The lumbar curve is highly adaptive thanks to the remarkable ability to move. Its function is precisely to compensate for the rigidity of 3 volumes between which is interposed: kiss, skull and chest. Consisting of thirty-three vertebrae, The spine supports the whole body. The vertebrae are connected ligaments and muscles that allow us to perform all movements and to assume more complex postures.

The spine is divided into: cervicale (seven vertebrae), dorsal (twelve vertebrae), lumbar (five vertebrae), sacral (five vertebrae) e coccige. Inside, ie in “spinal canal”, flowing the spinal cord. The vertebrae are separated from each other by the intervertebral discs, real bearings which avoid the friction of these bones between them and dampen the movements absorbing mechanical shocks to the spine. The intervertebral disc consists of a nucleus pulposus (format for the 90% from water) and an outer fibrous ring that contains it.

Sagittal plane of the lumbar spine

The best known of back pain is the famous “lumbago” comes intense and sudden at the bottom while you are moving a weight. Since the weight of the body you downloaded especially on lower back, the state of suffering and the pain thereof, are defined “low back pain”, a 'largely benign clinical entity that improves spontaneously in a few weeks, reserving the most problems (chronic back pain) to a small number of subjects.

. Pain is “pivotal”, ie cross in the lumbar part with possible radiation to the sciatic nerve (lombosciatalgia). When the low back pain is cronicizzata may be exacerbation of certain postures (eg, stay too long standing in the same position, or sitting while driving in the car for long journeys).

The conditions that can determine the cause and the persistence of low back pain are numerous, sometimes not localized in the spine. The causes of this disease, manufacture of disc degeneration, that is, more or less premature aging of the intervertebral discs.

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POINT OF VIEW PHYSIOTHERAPEUTIC

The objective of the physiotherapeutic diagnosis is to successfully establish the various causes (including lifts) that lead to the development and maintenance of pain in the patient.

Here is a partial list of the most common causes that can develop a physiotherapy point of view of the back pain:

• block of the spinal block the pelvis mobility (Sacro-iliac, symphysis pubis);
• attachment of a nerve (sciatica, femoral);
• hip joint dysfunction, knee, Ankle / Foot;
• dysfunctions of the vertebral curves (iperlordosi e ipercifosi, scoliosis or vertical column);
• visceral attachment (spasms of the sigmoid colon, fixation of the kidney, pelvic congestion);
• adhesions (Caesarean section, appendicectomia);
• understanding the patient's lifestyle (work, position, supply, stress…).

The physical therapist will decide which will be for you the best course of treatment, based on its quality palpatory, observation and diagnosis; not underestimating, anyway, where necessary, the need for more thorough evaluations type MRI, TAC, addressing you with professional colleagues (Neurology, orthopedic etc).

Physiotherapy treatment is often the most effective intervention to try to correct these problems. Most people think that back pain is the result of a trauma.

In reality, There are many diseases that manifest with symptoms of back pain, or pelvic problems:

• abdominal pains
• states of anxiety
• arthritis
• a lumbar cervical spondylitis
• dermatological problems
• kidney disease
• rheumatic conditions
• tumors.

Physiotherapy treatment is still useful to decrease pain or stress that these pathologies involve, including manual handling techniques and joint mobilization, muscle and soft tissue. Physiotherapist job is not just to administer treatment, but also to give advice on how to maintain the results obtained, through, eg, gymnastics physiotherapy etc.

For a consultation, please contact the study FISIOMASSAGE MILAN