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

Disc Prolapses

In a disc prolapse the internal material of the disc becomes displaced in relation to the outer annulus. The annular rings should be around the disc and the water retaining nucleus at the centre of the disc should remain there. In one kind of protrusion the disc bulges the annular fibres outwards but the nuclear material remains inside the disc. If the annular fibres rupture right through their thickness then part of the nucleus can extrude outside the confines of the disc but it still remains in contact with the rest of the nucleus inside the disc.

A third type of disc prolapse can occur where the disc tissue is extruded from the disc but then is separated from the nucleus and exists as an independent fragment outside the disc walls. Disc prolapses or herniations do not seem to be well connected with age or changes of degeneration of the discs even though it is again most common at lower lumbar levels which are subject to both degeneration and stresses more than other spinal regions. Even though disc prolapses are often called .slipped discs., the disc cannot slip as it is tightly bound to the vertebrae above and below.

Simple Neck Exercises

Neck problems are very common with neck, head, upper back, shoulder and arm pain all possibly referred from the cervical spine discs, joints, ligaments and muscles. The cervical spine is a long column with a heavy weight (the head) balanced at one end, a process that demands good movements and strong muscular control to achieve effectively without pain. Neck pain is commonly secondary to poor posture over a long period of time such as working at an office desk or kitchen worktop, where the neck has to maintain one posture for much longer than is helpful.

It can be helpful to perform simple neck exercises every day to maintain the ranges of motion of all the cervical joints and other structures within normal limits. Different parts of the cervical spine are specialised for different movements and it is important to make sure that the specific movements for each joint are practised daily. The upper neck vertebrae are specialised for rotation as moving the head round to look at something is a very important ability, and there is a small amount of a nodding movement here also. Further down the neck the focus is more on forward and back movements functionally adapted for looking up and down.