Back and Neck Pain

Back and Neck Pain treatment in Hebbal, Bangalore

Neck Pain

Physiotherapy is commonly used to treat neck pain. Neck physiotherapy will reduce stiffness or pain so that an exercise programme geared at stretching and strengthening the neck can begin. For the treatment, the specific exercises, methods, and duration will be specific for each person.

Physiotherapy Goals for Neck Pain

The goals of neck related physiotherapy are,

  • Create strategies to prevent recurrence of pain

  • Neck, head motion and range improvement

  • Provide dynamic strengthening to the neck and muscles for support 

  • Stiffness and pain reduction

If the pain does not completely go away, the therapy can improve neck function and posture to enable movements in the daily routine.

Situation Where Therapy is Recommended

  • Unspecified Chronic Pain: If the neck pain recurs or lingers, it is difficult to pin-point the mechanism or source of the pain. Whether or not a diagnosis is done, strengthening of neck muscles can help them to provide better support for cervical spine and increase pain resistance.

  • Recovering from Injury: Several types of injuries, for example whiplash, will damage the joints and soft tissues of the neck, leading to stiffness and pain that might last for extended periods.  With physiotherapy, the pain will reduce and the neck will function normally again. 

  • Recovering from Surgery: Some neck related surgeries can lead to stiffness and pain in the neck in the weeks and months that follow.  For example, during anterior cervical discectomy with fusion surgery 2 or more neck vertebrae are fused together and it can change the movement of upper back and neck muscles.  In this case, therapy can aid in reducing stiffness, improve neck function, and prevent or reduce painful spasms during muscles’ reconditioned period.

Situation Where Therapy is not Recommended

Physiotherapy is generally not recommended in case of chronic neck pain in the following cases,

  • Significant Instability of the Spine: The cervical spine might not be so stable that it can withstand exercise. For example, in case of a fractured vertebral bone, the  spinal cord is compressed due to spinal degeneration.  In such cases first you need stabilising of the spine needs to be accomplished so that it is not further injured during therapy.

  • Severe Underlying Medical Issue: When a tumor or infection is the cause of neck pain, first addressing underlying cause is essential. 

  • Other Causes: There can be other reasons to not start physiotherapy, for example if the patient’s body is incapable of withstanding the treatment.

Types of Passive Physical Therapy

Common categories of passive physiotherapy are, 

  • Ice and/or heat therapy

  • Massage therapy

  • Electrotherapy

  • Ultrasound 

Types of Active Physical Therapy

Common categories of active physiotherapy are,

  • Neck stretches and exercises

  • Core and back strengthening 

  • Aerobic activity 

  • Aquatic exercise 

The above-mentioned therapies and various others could be combined and even used at various phases of the patient’s recovery, based on the therapy goals of the patient. 

Lower Back Pain

Types of Physical Therapies

Therapies associated with lower back pain fall into two categories, active therapy and passive therapy. 

Active Physical Therapy

For effective results, the following need to be included in the generalised back exercise program,

  1. Stretching, includes simple stretches of the hamstring

  2. Strengthening, including 15 to 20 minutes of dynamic lumbar stabilisation or other exercise that is prescribed

  3. Low impact aerobic conditioning

Passive Physical Therapy

In cases where exercise is either too painful or not possible, the therapist may consider passive therapies, including,

  • Ice /heat packs

  • Iontophoresis

  • TENS units

  • Ultrasound

Specific Exercises

Several weight training, stretching, weight-training, and other exercises are used to reduce lower back. Some of these are,

  • Ankle pumps

  • Heel slides

  • Hip flex and stretches

  • Lumbar stabilisation exercises

  • Piriformis stretch

  • Single knee to chest stretch

  • Straight leg raises

  • Wall squats

Consult with the specialised doctors at Manipal Hospitals to know more about back and neck pain treatment in Hebbal, Bangalore

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