If you are searching for local County of West Midlands physiotherapy practices, the clinics below are recommended. Please click on the practice name links for detailed descriptions of each clinic and the conditions in which they specialise.
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Physiotherapists in West Midlands treat many different conditions including the condition profiled below.
Risk Factors for Low Back Pain
Studies of risk factors have not given clear indication of the risk factors for low back pain although about 70% of disc degeneration seems to be connected with genetic factors and around 60% of back pain overall. There is a strong association between genetic factors and osteoarthritis in the small facet joints which lie each side of the spine. General levels of fitness and the strength of back muscles seem to have little relevance as does differences in leg length. One study which was well conducted shows that a high risk of poor lumbar mobility and a long back exists in young people who work in health work and are encountering heavy work for the first time. This may be because taller people are exposed to higher mechanical forces to the longer limb and spinal levers they use when lifting weights.
Of little relevance seem to be height or weight, flexibility of the lumbar spine or straight leg raising, and fitness seems also to be not connected. X-ray and MRI examination findings have no connection to whether a person might suffer low back pain in the future. Overall the highest risk factor for future back pain is having had back pain in the past.
Diagnosing Discogenic Back Pain
Low back pain is very common and a significant cause of pain, disability and work loss in western societies. Diagnosing low back pain is difficult and relating examination and investigation findings to treatments or successful intervention has proved to be elusive. MRI scanning is the investigation of choice for back pain syndromes and can indicate disc narrowing, disc dehydration, annular tears and joint abnormalities. If the disc level identified on the scan fits with the examination and x-ray findings, the surgeon may have some confidence that the painful segment has been identified. However this may not be accurate and treatment based on this can be unreliable.
Discography is an investigative technique where a needle is introduced into the suspect disc and a small amount of contrast material is injected. If the test is to be positive then the individual must complain of their typical pain on this stimulation and not just general discomfort. The injected material may also give some idea of the internal structure of the disc and any disruption which may be present. Injection of local anaesthetic can also be performed, a so called discoblock, may be performed, allowing for the patient to report a reduction in their typical pain for a positive response to the test.
Physiotherapists in West Midlands have contributed some of the many articles on this site such as the one extracted below.
Our sensory system conveys the information we need to our brains so we can make the right decisions in daily life. Huge amounts of information flow in to our brain at all times and we must decide the importance or otherwise of this. Hearing, touch and sight are clearly used by use to manage our responses to the challenges of normal life but there are other sensory modalities which are just as important in our mobility. The feelings coming in from all our bodily structures such as our muscles, ligaments, discs and joints are very important for normal movement function. Joint position sense is more specifically related to our joints and is also called proprioception.Waking up with a dead, completely numb arm is a good example of the loss of sensory input having a strong effect on what we can do. I woke up one night with an arm across my chest, making me hotter than I already was in bed. I was a bit irritable and moved the arm off my chest at least twice until I woke up a bit and began to...
