Archive for the ‘Pain Management’ category

An overview of low back pain in fast bowlers in cricket

August 6th, 2011

An overview of low back pain in fast bowlers in cricket

Epidemiology, treatment and prevention of back pain in cricket.

Presentation

Cricket

is one of the oldest sports known to mankind. With the advent of one day cricket in the mid-1970s and twenty 20 cricket in the early 2000s, its popularity has soared immensely. However, due to the impressive number of international matches played today, it is necessary to focus on prevention and management of injuries to players.

Epidemiology of pain in the lower back in cricket

Previous research has reported that low back injuries occur in 60% of cricketers . The reasons given were insufficient pre-season physical and psychological preparation, rapid escalation in the frequency of training, poor biomechanics of fast bowling, the duration of bowling and the overall workload in the season. A longitudinal study in South Africa revealed that the bowling (41%) accounted for most injuries in cricket. Back pain and injuries in fast bowlers fast bowlers are at particular risk of low back pain and injury from rotating bowlers, batsmen and wicket keepers. Hyperextension of the lumbar spine and concomitant rotation of the thoracic spine in fast bowling places a significant amount of stress on the lumbar spine. This causes injury to bones, joints, ligaments and muscles in and around the lumbar spine resulting in back pain. The pain is gradual onset and is typically described as the “crescendo-type” of pain that is occurring at the end of the game of the day first, then sooner next time and so on. Typically, it is painful when the player bends backwards, especially if standing on one leg.

Factors

risk of injury to fast bowlers

Traditionally, fast bowling injuries in the lower back were thought to occur due to hereditary factors, lack of a good technique, poor fitness and lack of pre-season preparation. There are two separate actions by which pace bowlers deliver a cricket ball, side-on and front on. They are defined in terms of the attitude of the feet, arms not bowling, shoulders, torso and monitoring. A third type of action involves certain characteristics of one of these actions. The biggest disadvantage of composite action is that it implies greater shoulder rotation to realign with the rest of the body.

Treatment

most cases, complete rest of the game is the treatment of choice. Meanwhile, a progressive rehabilitation program to strengthen the structures supporting the lower back should be undertaken. Improve core stability and trunk flexibility is also undertaken. The use of a brace while bowling to support the back is also very useful. Surgery is rarely necessary. Subtle changes to the actions of the launcher can be undertaken to minimize stress on the vertebrae.

Summary

The underlying mechanisms

back pain need to be studied further. Design of preventive interventions and good management of fast bowlers in the early years can go a long way in enabling them to pursue careers “without pain”.

PS: For a list of references used in this article, please email me at drdeepakhiwale@aol.com

Physiotherapy For Low Back Pain:

August 4th, 2011

There are different types of physical therapies for the back pain via which people get the advantage. The benefits of physiotherapy depend upon the severity and the site of illness. Like for instance, if a person has back pain, he might get many benefits, due to physical therapy and exercises that are offered by a physical therapist. Majority of their symptoms, including pain could be settled by means of the exercises and physical therapy, and they would not require any more intensive treatment. On the other hand, if an old aged person who is suffering from osteoarthritis of the knee joint wants to get physiotherapy, he might not be able to get more benefit from it unless he would not do adequate bed rest.

This is a known fact that every individual could not get the benefit from physiotherapy. This modality is best for those who want to avoid any invasive procedure and medications for their back pain. During this mode of treatment, a physiotherapist offers muscles’ strengthening and stretching exercises, which relieve the pain and decrease the swelling of the particular region. The muscles around the painful area become stronger and the muscles’ stiffness declines. It should be remembered that the structures of the muscles are different in different individuals. Therefore; it would be much better to consult a health professional before going to attend the sessions of physiotherapy.

There are different types of physical therapies and exercises that a physiotherapist may offer to the individuals, who are suffering from back pain and want to get relief from their problems on a long term basis. The exercises of physiotherapy can be broadly classified into two categories. Those exercises which are performed by the physical therapist on the patients are called as active exercises, however; those exercises which are performed by the patients on their own body are called as passive exercises.

The passive exercises are also necessary along with the active exercises, and they produce good results in providing relief from the lower back pain. These exercises are simple and could be performed by the patient on their own during their leisure time. Patients are advised to perform stretching exercise of their hamstring muscles. These exercises are much simpler and could be performed easily without external help. Patients are also trained how to perform strengthening exercises of lumber muscles. All of these exercises, however; require regularity in order to get full advantage and relief from pain.

This article is provided for information purposes only. Please consult a health professional for treatment options. This article is not written by a health professional or checked for accuracy by a physician.

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Can anyone please help me find a list of pain management specialists in NJ who deal with fibromyalgia?

August 3rd, 2011
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Chronic Back Pain- How to Deal With It

August 3rd, 2011

even though patient suffer from chronic back pain, the first course of treatment is to see a health professional. You need to find out what the source of patientr pain is. From a herniated disc to spinal stenosis, there are different medical reasons why patientr back hurts.

Back pain can keep patient from living the life that patient want to. It can limit patientr physical activities and cause patient to suffer chronic pain and discomfort. Once patient know why patient have back pain it is easier to figure out how to live with it.

Chronic back pain can be relieved or lessened by changing some things about patientr lifestyle. A simple thing to change is patientr posture. Look in the mirror and see how patient typically hold patientr body. Slouching can aggravate back pain.

Wearing a corset can help to improve patientr posture and although it may be difficult to do at first, if patient concentrate on patientr posture it will become habit to stand up straighter. Using a weight loss belt that goes around patientr core and helps patient to hold in patientr abdominal muscles is another way to improve patientr posture. Often back pain can be lessened by strengthening patientr abdominal muscles.

Exercise is another way to fix patientr posture. Whether it is taking a daily walk or doing some pilates, when patient learn how to do exercises correctlly, it will improve patientr posture while it strengthens patientr body.

Another way of dealing with chronic back pain is to look at patientr weight. Being as little as 10 pounds overweight can increase patientr back pain. Start on a healthier eating plan and getting rid of that extra 10 pounds will be easy.

Many people can help their chronic back pain by getting a new mattress. People do not often think about how old their mattress is. How old is patientr mattress? Purchasing a mattress that is for patientr weight and size can make a huge difference in how patient sleep and how well patientr body is supported during sleep. Go to a mattress store and spend some time checking out different mattresses. There is a difference! Also, mattresses last about 10 years depending on how much money patient spend on it.

Chronic back pain can often be helped if not totally relieved by doing these simple things. For woman, another thing to consider is how often they wear high heels. High heeled shoes are sexy and look great but can be killer for someone who has chronic back pain. Don’t give them up totally but choose when patient are going to wear them. Find patientrself a supportive, comfortable shoe if patient have to be on patientr feet for extended periods of time. Save the high heels for when patient will mostly be sitting, think out on a dinner date. Barefoot is not ideal either. You need to wear a shoe that gives patient support.

For some chronic back pain sufferers, these tips can help patient to avoid medical treatments like pain management, injections and surgical procedures. Sometimes changing patientr lifestyle can help patient to be free of chronic pain.

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Learn how to manage the pain of migraine headaches and feel better faster.

August 2nd, 2011

migraine pain is among the most complex forms of disease. In fact, this condition is very common and can be applied to adults, adolescents and children as well. Although it is unpleasant, pain headaches is largely considered a normal part of everyday life of a person. It is among the main reasons for medical appointments for doctors and doctors of today.

There are many causes of headaches. The main factors that trigger headaches are viruses, bio-chemicals, hormones, and bacteria. DNA and low levels of serotonin are also linked to the susceptibility of a person with pain headaches. Serotonin is a neuro-chemical that protects an individual against the pain.

Identify the different types of headaches

Pain comes with all types of headaches in many forms. It is really important for patient to know the different types of headaches in order to have a correct diagnosis and the application of treatments headache pain relief.

1. Cluster headache pain

This type of headaches are severe and sudden. Even if a cluster headache has a shorter duration compared to other types of headaches, it can trigger up to six times in one day.

2. Rebound migraine headaches

Headache Rebound headache is often caused by overuse of migraine medications. Rather than decreasing pain, pain medication may eventually cause pain headaches when abused.

3. Sinus headaches

infection, swelling and irritation of sinus pain can ignite a headache sinus. This type of headache is often confused with pain of tension and migraine.

4. Migraine pain

This type of pain occurs on one side of the head. The pain can become severe enough that it can interfere with daily productivity of a person.

Each type of migraine pain can be triggered by a different cause. It is really important to understand exactly what patientr situation to manage the pain of migraine headaches and feel better faster.

Click on the link to learn more about the treatment of migraine. stop the pain and find relief solutions.

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