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

Degeneration of Intervertebral Discs

The terms degeneration and ageing when applied to intervertebral discs are not exactly the same thing, as degeneration implies damaging changes in disc structure while ageing changes may be incidental. However, degeneration is a lot more common in older rather than younger discs. Degeneration does involve things which ageing does not, such as larger structural changes in the annulus in the endplates. This structural change starts to occur in a person.s twenties and reaches its maximum in middle age. Because disc degeneration occurs more commonly in men and in the lower lumbar spine it is assumed to be related to mechanical stresses.

Changes which occur in the discs are tears in the annular fibres of various patterns, buckling of the inner annular fibres inwards towards the disc centre, greater bulging of the outer disc walls, loss of disc height, defects in the endplates which can include these bulging up into the vertebral body. Blood vessels and nerves can grow inwards along the annular tears as they are no longer opposed by the internal disc pressure. Degeneration may disrupt the disc.s ability to distribute the compression stresses evenly, leading to high levels of stress being applied to areas which are not designed to cope with this.

Stress and Neck Pain

Neck pain causes problems in life, reducing our ability to do things, interrupting comfortable postures and interfering with our concentration. This causes stress and anxiety , a very typical response, and which can increase muscle tension and increase pain. The tension caused by stresses can increase the contraction levels in neck muscles and this spasm contributes towards muscle pain in all the overactive muscles. Figuring out what the stresses are and taking action to reduce them at this stage is very important and may help recovery. Mindfulness, controlled breathing and relaxation techniques may all be useful.

Mindfulness is a technique of placing yourself in the here and now with yourself and not judging yourself and the situation you are in, you just accept and experience it. Relaxation techniques are often practised lying down with a pillow under the knees to relax the low back area. Contracting each set of muscles from the feet up and then letting them go will provide a relaxation, with a guide from a relaxation CD or tape a useful adjunct. Controlled breathing by allowing the abdomen to rise as the diaphragm is used to inhale air in a slow rhythm can also be very relaxing.