Research regularly cites 80% of the population will experience or suffer from spinal pain. So chances are you will at some point require assessment, treatment, and advice for spine pain.
Some spinal pain can be short lived, lasting less than one week. This pain may be described as non-specific and commonly disappears without any assessment or treatment.
Persistent spinal pain or pain that is so severe requires strong analgesia does require prompt assessment, treatment, and advice. With the correct advice, spine pain and dysfunction can improve steadily. The majority of clients (95% plus) will improve with good quality care, assessment and advice. This treatment must also include specific spinal rehabilitation.
The correct treatment will ensure your spine is more robust, and the education to look for signs to predict a back exacerbation. Listen to your body, treat early and self-manage.
Lack of specific diagnosis can lead to ongoing back pain, mismanagement, incorrect treatments, overtreatment, excessive treatment modalities and multiple appointments
Correct diagnosis empowers the client, gives us a prognosis, or timeline of how long problem may take to manage.
Your correct diagnosis will begin with your experienced Physiotherapist, we may order x-rays or scans. We commonly seek a second opinion for confirmation of our diagnosis and to order an MRI. A correct diagnosis will target the correct detailed treatment amendable to a fast and efficient recovery.
General exercise versus specific targeted spinal exercise
‘It’s not what you do, It’s how you do it’. We often hear stories where people have tried their best, kept exercising, but are still troubled by spinal pain. Prolonged pain and disuse of muscle are associated with altered motor cortical representation, Pain very quickly switches off your deep lumbar stabilizing muscles.
General exercise, unfortunately, is not enough to re-program specific spinal musculature. Studies have identified a marked improvement with clients who practice skilled specific motor training. Cortical reorganization following skilled training is one of the likely reasons for such improvements with spine pain clients.
Specific exercise is essential to target the correct musculature to hold and stabilize your back. This directly reduce’s load and overuse of passive structures that often generate pain due to altered pressures which are placed upon them.
Building strong core muscles is not achieved by performing copious amounts of sit-up exercises and crunches in the gym. The correct exercises for building spine-stabilizing core muscles are exercises that are preformed very slowly without any spine movement. To do so correctly, you will need to re-train two key muscle groups, Transversus Adominus and Multifidus.
Real time ultrasound imaging
Rather than just feel or look at your muscles working, let’s go a step better. Let’s actually look and see your muscles contract, in real time.
Using ultrasound imaging as an assessment and learning tool has proven highly effective in learning the correct muscle contraction, so you can practice a home, confident you are working the correct muscles.
We will use the ultrasound imaging to teach you to accurately and quickly activate (or re-activate) the muscles required to alleviate pain associated with a weak core. Studies have proven using real time ultrasound ensures the client learns the correct muscle contractions more quickly, understands the concepts, and retains the correct muscle contraction between weekly sessions. This technology is far superior to just feel your deep muscles working.
Why use real-time ultrasound during physiotherapy?
Having a strong core means that all the muscles in the trunk of your body are strong and flexible, and are working together to support and stabilize the spine. Your ability to identify and strengthen your core abdominals is crucial for spinal rehabilitation.
The tranversus abdominus multifidus (corset muscles around your lower back) and multifidus muscles (pieces of eye fillet steak either side of the bony parts of your lower spine) attach locally to the lumbar to give us core spinal stability. These muscles are an important component of our core or ‘cylinder of stability’.
Unfortunately, these spine-stabilizing muscles switch off after back pain lasting more a couple of days. When this happens, these muscles need to be retrained and strengthened to function properly.
Clinical pilates and rehabilitation
Improving your spine and trunk strength will directly improve your spine stability and spine rigidity. This will further reduce your risk of injury and improve the daily management of your pain or pathology.
Bodyreform Physiotherapists utilize a combination of pilates exercise/modified Pilates and physio rehab exercises.
You will be able to progress you using our clinical Pilates machines to further challenge your abdominals and build core strength, body awareness, and global muscle power. The Pilates training will also help with spine elongation and spine flexibility to improve your posture.
Bodyreform is ACC Physiotherapy registered, so we’ll take care of the documentation for you. No referral is required, so all you need to do is pick up the phone, send us an email or book online – whichever is easier for you.