Physical Therapy for Back Pain

Millions of Americans suffer from back pain. For some, the pain is mild and infrequent; for others, back pain is a chronic and debilitating condition, preventing them from performing everyday activities and severely affecting their quality of life. Although there are many ways to treat chronic back pain, including medication and surgery, physical therapy is the ideal solution for individuals who wish to improve or correct their condition through effective, noninvasive, and natural procedures.

Education

Although many people know what it’s like to experience back pain, few of them are able to accurately identify the source of the pain. It is a common myth that all back pain comes from some type of physical exertion or injury such as bending the back in an awkward position, lifting something too heavy, or pulling a muscle. Although these are certainly factors in the incidence of back pain, they are not the only culprits, or even the most common ones. One of the roles of physical therapy is to educate the patient in the causes for back pain so he or she will be better equipped to prevent future episodes.

Many times, back pain is caused by poor posture, and like any bad habit, can be difficult to correct. Physical therapists help patients become more aware of their posture so that they can self-correct as necessary. Individuals who spend many hours per day in a sitting position such as those who have desk jobs, for instance, are particularly vulnerable for lower back pain. Physical therapists can help these patients learn to sit up straighter at their desks rather than slouching and to perform bending and extension exercises designed to prevent and relieve pain. The therapist may also train the patient in the use of assistive devices such as special pillows, or lumbar rolls, designed to help maintain a natural curvature of the back while in a sitting position.

Manual Therapy

Like any form of physical therapy, the goal of manual therapy is to reduce pain and increase mobility. As its name implies, manual therapy is administered by the hands instead of by machine or device. For example, the therapist may apply pressure to certain areas to stimulate the tissue and break up myofascial adhesions that can cause pain and tension. This procedure is often referred to as soft tissue mobilization, or STM. Other manual therapy techniques such as strain-counterstrain, joint mobilization, and muscle energy techniques (MET’S) involve the therapist taking hold of the patient and moving his or her muscles and/or joints in a way that gradually increases flexibility and provides pain-relieving resistance.

Exercise

Exercise plays an important role in physical therapy, but such a routine cannot begin until a patient’s pain has been adequately managed. Once this has occurred, the therapist can work with the individual to develop a regimen involving both aerobic and strengthening exercises. Aerobic exercises, such as walking or bicycling, not only help stimulate the tissue in the affected area, but also allow important nutrients to reach the area, helping it to heal and restore itself. Typically, these types of activities are prescribed for approximately thirty minutes a few times per week. Exercises designed to strengthen both the back, the legs, and the abdomen are also recommended. The stronger the back is, the better-equipped it will be to tolerate certain postures and activities. Furthermore, leg strength also plays an important role in prevention since strong legs can assist the back in lifting and bending activities. Exercises designed to strengthen the abdomen can help the patient maintain proper balance and posture, minimizing episodic back pain.

Passive Modalities

The term “passive modalities” refers to any physical therapy technique in which the patient does not participate actively. Common passive modalities used to treat back pain include the use of hot and cold compresses, ultrasound therapy, and electric stimulation. Although these methods certainly provide some benefits, especially in the form of pain relief, and are therefore quite appealing to patients, in order for long-term benefits to be realized, passive modalities should be combined with active modalities such as exercise and posture maintenance.

If you suffer from back pain on a regular basis, don’t continue to let it interfere with your daily activities or quality of life. Over-the counter, or even prescription medication, is often ineffective and even addictive; thankfully, it is not the only option. Physical therapy can offer specific treatments targeted towards reducing pain and increasing flexibility and movement, thereby allowing you to enjoy life by doing the things you love without the pain.

References

1.    Physical Therapy Programs for Low Back Pain. Spine Universe. Retrieved from http://www.spineuniverse.com/conditions/back-pain/physical-therapy-program-low-back-pain.
2.    Specific Manual Physical Therapy Techniques. Spine-Health. Retrieved from http://www.spine-health.com/treatment/physical-therapy/specific-manual-physical-therapy-techniques.

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The Newest Technologies in Physical Therapy

Physical therapy is one of the most rapidly expanding fields in healthcare today. It should come as no surprise then that it is a field rife with new and exciting technological advancements that enable patients to make physical gains that were inconceivable just decades ago. If the past is any indication of the future, we can expect to see even more innovation for the field of physical therapy in the years to come.

Computerized Exercise Equipment

One of the most widespread advancements in physical therapy technology today is the use of computerized exercise equipment that can recognize a patient, recall his or her treatment plan, and evaluate his or progress. Though these machines cannot take the place of a licensed physical therapist, they can certainly make his job a lot easier and help patients take more active and independent roles in the progression of their rehabilitation plan.  For example, a patient who is working on leg-strengthening may step on to a treadmill and type in a password; immediately, the treadmill retrieves the patient’s individual information including the specific exercise regimen prescribed for the day.  The patient can then quickly begin his therapy session, completing the time and distance requirements at the speed and intensity recommended by the therapist.

Motion Analysis and Capture

A technology with far-reaching implications, motion analysis and capture, sometimes referred to as mocap, is frequently used by the film industry to create 3-D movie characters. The medical industry has found ways to put this relatively new technology to even better uses, including helping physical therapists evaluate a patient’s movements and balance. Motion analysis and capture technology is often used in stroke rehabilitation to establish a starting point for the patient, design a rehabilitation program, and evaluate his or her progress. Through the use of special sensors or platforms, the therapist can track a patient’s gait, movement, and balance, transfer them to image or video files, and then watch and analyze them as many times as necessary to make a proper determination of the patient’s current functionality and design an individualized treatment plan for the patient’s recovery.

Robotic Therapy

A new and growing branch of physical therapy, robotic therapy offers rehab patients capabilities once thought to be only possible in movies. Although prosthetics have been around for decades and have provided amazing benefits to individuals who have lost an arm or a leg, robotic prosthetics offer much more than just a helping hand. The newest concepts in this field can actually deliver sensory input to the patient’s brain just as a real arm or leg would do. And robotic therapy is not just for prosthetics either. New robotics technology for stroke victims helps them regain mobility in their arms through an interactive video-game-like device which prompts the patient to move their hand in a certain direction and even provides them with sensory prompts as needed. Research and experimentation is ongoing to determine the implications robotics therapy can have for other areas of physical therapy as well.

Anti-Gravity Treadmills

Not surprisingly, this gravity-defying contraption was first conceptualized by NASA and was intended to enable astronauts to exercise in space. What NASA didn’t realize at the time was that this new technology would have important implications for the field of physical therapy as well. The concept is actually very simple; through an air-compressed device at the base of the treadmill, the patient is allowed to relieve a significant percentage of his body weight, allowing exercises such as walking and jogging to be much less strenuous, an important consideration for someone learning how to walk again after a surgery or injury. It also helps patients resume their normal gait much quicker than they would be able to otherwise, lessening the chance that they will develop a limp (something that can be very hard to reverse). Although these treadmills are not yet widely available, they are projected to become more commonplace in the years to come.

The newest technological advancements available to physical therapists and their patients are truly changing the face of physical therapy. Medical universities and corporations continue to conduct research and develop concepts that will continue to test the limits of what physical therapy can offer patients in terms of pain relief, independence, and increased mobility.

References

Anti-Gravity Treadmill Helps Injured get Moving Again. Denverpost.com. Retrieved from http://www.denverpost.com/rss/ci_17107585?source=rss.
Physical therapy: Technology on PT duty. DOTmed.com. Retrieved from http://www.dotmed.com/news/story/12652/.
Robotic Therapy Helps Stroke Patients Regain Function. MIT News. Retrieved from http://web.mit.edu/newsoffice/2010/stroke-therapy-0419.html.
Stroke Therapy: New Trends, Technology, and Tactics. Physical Therapy Products. Retrieved from http://www.ptproductsonline.com/issues/articles/2009-01_06.asp

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Types of Physical Therapy

Physical therapy is not just for injuries anymore. One of the reasons that physical therapy, sometimes referred to as PT, is such a rapidly growing field is the fact that it is so versatile. Physical therapy can be beneficial to patients of all ages, those with a range of medical conditions from arthritis to cancer, as well as those recovering from surgeries, accidents, or sports injuries. Despite the specific reason for physical therapy, generally speaking, the overall goal remains the same: to help the patient recover any lost abilities, become more mobile and independent, and eliminate or minimize pain.

Orthopedic Physical Therapy

Perhaps the most well-known division of physical therapy, orthopedic physical therapy is an area of PT devoted to treating conditions related to the muscular skeletal system including muscles, bones, and joints. This type of treatment is geared toward any individual suffering from conditions such as whiplash, arthritis, herniated discs, neck or back pain as well as sports, work, or post-surgery conditions. Orthopedic physical therapists use a variety of strategies, namely manual physical therapy—a technique in which the therapist uses his own hands to move the affected areas in ways that will flex the muscles and joints to lessen pain and improve function. In addition to traditional physical therapy methods, alternative techniques such as electrical stimulation are sometimes used in orthopedic physical therapy.

Pediatric Physical Therapy

Pediatric physical therapy refers to physical therapy administered to babies, preschoolers, children, and adolescents. These youngsters may require physical therapy for a variety of reasons including congenital disorders or conditions, medical ailments acquired during the early years, or injuries sustained during an accident. According to the American Physical Therapy Association, the goal of pediatric physical therapy is to help the child reach his physical potential in terms of mobility and self-sufficiency. Young patients are typically referred to pediatric physical therapy specialists who are trained in the specific treatment techniques proven to be most beneficial to children and young adults. Pediatric physical therapists often work closely with the patient’s family and school to develop a treatment plan that will help the child perform at an optimal level both at home and in the classroom. Depending on the type and severity of the child’s condition, he or she may require physical therapy for a short period of time, or the care may be ongoing.

Geriatric Physical Therapy

Geriatric physical therapy refers to the physical treatment of elderly patients. Although geriatric physical therapy often helps older patients battle diseases and medical conditions common in this age-group such as bladder issues, osteoporosis, Alzheimer’s disease, and arthritis among many others, it also helps them cope with the natural aging process. The goal of geriatric physical therapy is to help patients improve and maintain their mobility, thereby enabling them to maintain some degree of independence and autonomy as they age. Depending on the particular condition being treated, the patient may be referred to a specialist who is more knowledgeable and experienced in the treatment of the specific disease or disorder.

Neurological Physical Therapy

Neurological therapy is a branch of physical therapy involving the treatment of individuals affected by neurological disorders such as ALS or Alzheimer’s disease, or those who have experienced a stroke or serious head or back injury affecting the brain or spinal cord. Typically, neurological patients suffer some degree of mobility impairment including a loss of balance and agility. The treatment techniques used in this area of physical therapy are intended to help patients improve their movement ability by correcting or improving physical deficits related to their conditions.

Cardio-Pulmonary Rehabilitation

A relatively small field of physical therapy, cardio-pulmonary rehabilitation focuses on treating patients with medical conditions such as asthma, bronchitis, cardio-pulmonary disease, and those recovering from cardio-pulmonary surgery. This type of physical therapy uses alternative treatments to help these patients recover some degree of respiratory or cardiovascular function. Methods of cardio-pulmonary physical therapy may include certain breathing techniques and physical exercises designed to increase air-flow, strength, and stamina. While these strategies may not be able to cure the patient’s disorder, they can certainly help the patient improve function and enjoy a higher quality of life.

Once thought to be reserved for patients suffering from conditions or injuries directly affecting the muscles, bones, and joints, physical therapy has broadened its scope to include the treatment of just about any disorder or ailment that affects mobility, either directly or indirectly. Today, licensed physical therapists specialize in a certain field to learn the most effective techniques to treat specific conditions. These experts practice PT in a variety of different settings including hospitals, clinics, rehabilitation facilities, private practices, and even in-home care settings. Thanks to the wide-spread availability of specialized treatment options, physical therapy patients now have access to high-quality, individualized care designed to help them meet their personal treatment goals.

References

American Association of Physical Therapy. http://www.apta.org//AM/Template.cfm?Section=Home

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