Physiotherapists in Sevenoaks treat many different conditions including the issues profiled below.

Period Pain could be helped by Acupuncture

A recent study conducted in South Korea has provided some evidence than acupuncture may be useful as a treatment for period pain. Previous studies have found differently, with real and sham acupuncture having very similar effects. Period pain can be a significant problem in some women with a large variety of unpleasant symptoms including pain and nausea, sometimes lasting for many days of each cycle and thereby being disabling to some extent. A review considered 27 studies of acupuncture in period pain, with a variety of techniques used from traditional to western to sham acupuncture.

The studies showed that acupuncture was more effective than drug treatments in relieving severe period pains, despite the fact that many of the studies had flaws and therefore could not be completely relied upon for a scientific conclusion. However they did feel there was promising evidence that acupuncture could be of use in this condition. In the UK the body charged with evaluating evidence for treatments, NICE, has supported acupuncture for low back pain against criticism that acupuncture is not yet a valid treatment for anything. As acupuncture does seem to have important cultural aspects this may indicate that the individual.s belief structure is important for a good outcome.

Lumbar Stenosis

There are many painful syndromes which involve the lumbar spine, with the discs, ligaments, joints, muscles and nerves all implicated in pain production. Older people can present with symptoms which indicate a stenosis of their vertebral canal. The vertebral or spinal canal runs down the back and carries the spinal cord, allowing the nerve roots to exit to the body at each spinal level (each disc level). The spinal canal can be congenitally narrow which increases the chances of developing spinal stenosis with age. As degenerative changes occur in the spinal structures the spinal canal can become narrowed and tight.

The symptoms of spinal stenosis typically do not include back pain but rather leg pain, often bilateral, and worsened by walking but better with sitting. Typically presenting in people of 65 years or older, spinal stenosis can also present as a nerve root irritation of a sciatic type due to stenosis of the exit for the spinal nerve root. Physiotherapy is not usually very useful and little is found on examination apart from a reduction in spinal extension and many people manage their symptoms over time as best they can, although surgical spinal decompression can be very successful in relieving the symptoms.