Physical Therapy & Rehab

Can Massage Therapy Help Your Back Pain?

Massage for Back Pain

Can Massage Therapy Help Your Back Pain?

For most of us, the answer is probably ‘yes’, since massage is non-invasive and considered very low risk for most people. In addition to physical benefits, certain types of massage have been shown to help psychologically via relaxation and increased production of ‘feel good’ chemicals that the body naturally produces (endorphins)–helpful for people with both acute back pain and chronic back pain. This post describes why massage may be right for you.

Benefits of Massage
Massage therapy is becoming more widely accepted in the medical community as a credible treatment for many types of back pain and/or as an adjunct to other medical treatments. Research shows that massage therapy has several potential health benefits for back pain sufferers, including:

Increased blood flow and circulation, which brings needed nutrition to muscles and tissues. This aids in recovery of muscle soreness from physical activity or soft tissue injury (such as muscle strain).
Decreased tension in the muscles. This muscle relaxation can improve flexibility, reduce pain caused by tight muscles and even improve sleep.
Increased endorphin levels–the “feel good” chemicals in the brain. This mood enhancer can ease depression and anxiety, which can help reduce pain and speed recovery–particularly important for those suffering from chronic back or neck problems.


Massage Therapy May Help Numerous Back Problems

Many healthcare providers say they will encourage their patients to pursue massage therapy in addition to medical treatment. If appropriate, you may want to ask your physician for a referral to a massage therapy professional in your area. Additionally, the American Massage Therapy Association website has a directory of trained and licensed massage therapy professionals at http://www.amtamassage.org.

There are numerous back problems that may benefit from massage therapy, including:

Muscle strain in the lower back or upper back/neck. Most episodes of acute lower back pain are caused by muscle strain, such as from lifting a heavy object, a sudden movement or a fall. The low back pain can be very severe and last for several hours, several days or even a few weeks. When back muscles are strained or torn, the area around the muscles can become inflamed. With inflammation, the muscles in the back can spasm and cause both severe lower back pain and difficulty moving. The large upper back muscles are also prone to irritation, either due to de-conditioning (lack of strength) or overuse injuries (such as repetitive motions). Upper back pain may also be due to a specific event, such as a muscle strain, sports injury, or auto accident. Massage can help work out the spasm/irritation and improve range of motion.

Osteoarthritis of the spine. Spinal arthritis is the breakdown of the cartilage between the aligning facet joints in the back portion of the spine. The facet joints become inflamed and progressive joint degeneration creates more frictional pain as bone rubs on bone. Therapeutic massage can help reduce osteoarthritis pain by improving circulation and reducing stress and muscle tension. However, it is important to find a professional who is specifically trained in treating people with arthritis.
Fibromyalgia can affect people differently, but is usually characterized by pain, stiffness, fatigue and/or non-restorative sleep. The patient typically feels both widespread pain and pain in specific “tender points” as evidenced by physical examination. Massage can target both the tender points and the more broadly distributed pain and stiffness.
Although massage is relatively safe, it is always advisable for patients to first check with their doctor before beginning massage therapy or any other treatment. There are some contraindications for massage therapy, such as (but not limited to): recent surgery; infectious skin disease, rash, or unhealed wound; varicose veins; and osteoporosis.


Massage Therapy Treatments for Back and Neck Pain–What’s Involved

One question patients often ask is: What kind of massage should I try? For overall relaxation and circulation, many patients find the Swedish massage technique helpful. This technique is characterized by long gliding strokes and kneading motions. For specific pain points, such as a lower back muscle strain, the American Academy of Pain Management recognizes neuromuscular therapy (also called trigger point myotherapy) as an effective treatment. Shiatsu massage is a popular technique that utilizes some of the elements of neuromuscular therapy.

With neuromuscular therapy, the therapist applies alternating levels of concentrated pressure (10-30 seconds) on the areas of muscle spasm. The patient will feel some pain or discomfort from the pressure, but the muscle spasm should be lessened after the massage. Any soreness from the pressure should fade in 1 to 3 days, and the muscles that were worked should be less tight for a week or two afterwards. A typical massage therapy program for muscle spasms consists of four sessions over 6 weeks.

Alternatives to Hands-on Massage
What if periodic appointments with a massage therapist just aren’t practical for you? Due to things like busy schedules, travel times to a good massage therapist in your area, or personal privacy, getting a hands-on massage may just not work for your lifestyle. While not an exact substitute for human touch, there may be alternatives. There are many therapeutic products available for use in the home, such as hand-held massagers and massage pillows, which are designed with the goal of mimicking some of the techniques used by massage therapists. For people who have experienced significant pain relief from massage and are interested in investing in a product that delivers overall, massage-like benefits, a massage chair may be an option. Most massage chairs are designed to mimic the Shiatsu and Swedish massage techniques, making them potentially helpful for specific pain points in the back or neck and for overall relaxation.

Final Thoughts
Patients with severe back pain should be checked by medical personnel before beginning massage therapy, and patients should always obtain an accurate medical diagnosis for the cause of their back pain prior to beginning a new treatment such as massage therapy to rule out potentially serious conditions. Many massage therapy professionals will work as part of an interdisciplinary healthcare team for patient evaluation and treatment.

7 Reasons To Use Physical Therapy For Chronic Pain

If you haven’t tried physical therapy before, you may wonder how it could help relieve your chronic pain.

A physical therapist can show you how to perform exercises to will help ease chronic pain.

Physical therapy uses a variety of approaches to tackle pain/chronic pain and boost physical functioning, and is often recommended as part of pain management.

What Physical Therapy Offers
These are seven ways physical therapy can help with chronic pain:

1. Individualized treatment. Physical therapy is all about you. You and the therapist will go over the various aspects of your pain the first time you meet. If you’re anxious about some aspect of physical therapy, this is the time to bring it up. It’s also a great time to bring up any specific goals you have. Maybe you’d like to walk longer distances or ride your bike again, for instance. The more open you can be about problem areas and goals, the better. Once you’ve reviewed everything, the therapist will develop a program tailored specifically to your needs.

2. Safe moves. It’s natural to be cautious in your movement when you’re hurting, but physical activity is needed to decrease stiffness, ease pain, and enhance your overall functional ability. Having a physical therapist direct and monitor your movements will dispel your worries about injuring yourself, allowing you to safely push yourself beyond what you could do independently.

3. An opportunity to avoid surgery. Physical therapy is a nonsurgical treatment often recommended to patients before considering surgery. The combination of manual therapies, specific functional strengthening exercise, stretches, and modalities can often relieve pain and improve functional ability so well that surgery is avoided.

4. Hands-on pain relief. Manual therapy is often used in skilled physical therapy– it involves pressure applied to targeted areas of the body to improve tissue extensibility; increase range of motion, and mobilize soft tissue and joints in effort to reduce pain.

5. Strategies to ease pain. Physical therapists are often a good resource to help you understand physiological factors and neuroscience involved in your pain. They are also able to suggest some ergonomic tweaks to your workstation and/or explain how tobacco use or alcohol could make your pain worse.

6. Support and encouragement. Working closely with someone focused on relieving your pain can offer both a physical and mental boost. Chronic pain can be an isolating experience, and it’s nice to know you’re not alone.

7. Control over your pain. Knowing that there is a way to reduce and manage your pain on your own, without medicines or surgery, can give you a sense of control. That sense of control can ease the release of stress hormones, further reducing pain.

Physical therapy sessions generally run from about 20 minutes to an hour, and usually include more than one visit per week. Over time, most people learn exercises and stretches to perform independently at home, and formal physical therapy appointments are no longer needed.

Neck Pain at Work?

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It’s  important to look at workplace ergonomics as part of treatment and prevention of neck pain.  Most often we forget.  This Spine Health article explains what you can do to reduce painful neck pain.

When sitting at a desk and looking straight ahead:

  • Eyes should point directly at the top third of your computer screen.
  • Forearms should be approximately parallel with the floor when typing.
  • Elbows should be at the side.
  • Feet should be flat on the floor with the thighs parallel with the floor.
  • If you stand or perform driving tasks, make sure that one side of the body is not constantly rotated more than the other side, and that there is as much symmetry in repetitive tasks as possible.

If you are experiencing neck pain, Blue Ridge Orthopaedic and Spine Center can help.  Our team of board certified/ fellowship trained physicians, as well as our physical therapy and rehabilitation department (including massage therapy) will diagnose your neck pain and develop a treatment plan that is right for you.

Blue Ridge Orthopaedic & Spine Center has two convenient office locations in Warrenton (540) 347.9220 & Gainesville (703) 743.2814 to serve all of your Orthopaedic needs.  Call us today to schedule an appointment.  Same day/next day appointments available.  For more information on all comprehensive services we offer visit www.broava.com.

Take the plunge with Aquatic Physical Therapy

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by Karri Iten, PT, DPT, OCS
Physical Therapist at Blue Ridge Orthopaedic & Spine Center

Why Try Aquatic Physical Therapy?

Aquatic PT is an excellent option for treating a wide variety of conditions & injuries, including arthritis, total joint replacements, spinal surgery, fractures, and obesity. The primary benefit of aquatic therapy is that it allows for a decrease in body weight due to buoyancy. Other benefits of aquatic therapy are due to the effect of hydrostatic pressure & the resistance of the water.

Buoyancy is the upward force water exerts on an object & it’s this property that allows us to float in a pool. Someone standing hip deep in water has approximately 50% reduction in their body weight. The deeper the water, the more this increases. For people that have pain with standing, or an injury that requires limited weight bearing, aquatic therapy can allow an earlier start to strengthening & normal activities, such as walking & stairs. For stiff joints, this buoyancy can also be used to assist with regaining normal range of motion by letting the water “do the work” to raise the limb instead of relying entirely on weak or painful muscles. We can work against buoyancy to strengthen the muscles, too.

Hydrostatic pressure is the pressure exerted upon an object in a fluid. In the pool, this pressure assists with swelling by providing constant pressure around a joint. It can also help with controlling blood pressure and heart rate because the blood is being assisted back to the heart. Finally, water provides approximately 12 times the resistance of air. This resistance is applied in all directions, unlike with gravity, so you work equally moving out & coming back to the start position. This helps engage multiple muscles at once, especially those that stabilize a joint.

Blue Ridge Orthopaedic & Spine Center Physical Rehabilitation offers an aquatic therapy program Tuesday & Thursday mornings through a partnership with the Warrenton Aquatic Recreation Facility (WARF). Learn more about Aquatic Water Therapy at www.broava.com or call 540.347.2918 for more information.

BRO-Logo-colorBlue Ridge Orthopaedic & Spine Center is Northern Virginia’s premier facility for diagnosing and treating back pain and spinal disorders. In addition to our regionally renowned Spine Center, our practice features Joint Replacement, Sports Medicine, Pain Management, Physical Therapy, Trauma Center, Shoulder Care, a Hand Center and a Foot and Ankle Center.

We are committed to treating not just injuries and physical ailments, but rather the whole person, by offering a wide range of specialty programs designed to support treatment. Specialty programs include Massage Therapy, Medical Nutrition and Aquatic Physical Therapy.

Does the Epidural always work for Pain?

 

When Do Epidural Steroid Injections Work for Back Pain?

by: Sylvia Marten  spine-health.com

For most people suffering from back pain, surgery is scheduled only after all other options have been exhausted.

One non-surgical approach to pain relief is epidural steroid injections. They are only intended for temporary pain relief, but steroid injections coupled with therapeutic exercise may allow patients to postpone or even avoid surgery altogether.

Epidural injections deliver steroid medication directly to the source of pain.

Epidural steroid injections are most often used to treat low back and leg pain associated with sciatica, which is pain caused by a pinched nerve in the low back that radiates down the leg.

  • Sciatica can result from a number of conditions, including a herniated disc, degenerative disc disease, or spinal stenosis.

Epidural Steroid Injections Video

Many Spine-health readers have had epidural steroid injections and have shared their results with us:

  • There were many people who did experience relief, if only temporarily.
  • In several instances, injections helped our readers reduce their pain while they waited for their scheduled surgery.
  • There was also indication among our readers that a series of 3-4 shots provided the most relief, while anything more than that had little effect, or even made pain worse.
  • A select few were awarded complete relief and were able to return to normal activities.
  • For as many of our readers who have had success, there were just as many who experienced little to no relief from epidural steroid injections.

Fluoroscopy, or live X-ray, has been shown to be the most effective way to deliver the medication most accurately to the epidural space.

The most common reader complaints were centered on the side effects associated with steroids. Many reported significant weight gain and bloating, swelling of the face, feet and ankles, and headache and nausea.

Another concern for some readers, especially those with diabetes, was the rise in blood sugar associated with steroids.

Efficacy of epidural steroid injections

There is no conclusive evidence that epidural steroid injections work better for one condition than another. Success rates are different for each individual. For those hoping to postpone surgery, injections may provide enough temporary relief.

Steroid injections may also effect enough pain relief to allow you to begin a physical exercise program. Many people have gained enough pain relief through an exercise program to avoid surgery.

The most important thing is to find a doctor that you trust, and who will adequately answer any questions you may have regarding your condition or the injection procedure.

 

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Blue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnosis and treat orthopaedic conditions. Both of our offices are equipped with in-office  radiology departments. Not only does this facilitate rapid diagnosis but it is also convenient for patients who may be experiencing pain or disability at the time of their visit. To schedule an appointment with one of our board-certified and fellowship trained physicians, call our Warrenton office at 540-347-9220 or our Gainesville office at 703-743-2814.