😱Tips Mudah Elak & Atasi Bongkok Sabut!

Salam @akufisio, video kali ini saya menerangkan 1) Apa itu bongkok sabut? 2) Punca terjadinya bongkok sabut 3) Cara paling mudah nak rawat dan atasi masalah bongkok sabut ADA PERSOALAN NAK TANYA? Comment persoalan anda dibawah, InsyaAllah saya akan bantu jawab ketika berkelapangan. Senior Physiotherapy: Muhamad Shahril Bin Senan @akufisio Video Sponsored by: https://erobarn.com/ Fb & Ig: @akufisioofficial Blog: https://akufisio.blogspot.com/ Background Music by: https://www.bensound.com/

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Back Pain When Pregnant

Pregnancy with the Back Pain Tips prevention .

Bismillahirahmanirahim , Almost all people who are pregnant, experience back pain. What caused it?
To be sure, because you are supporting extra weight, so your posture becomes disproportionate and leaning forward.

Then, in preparation for childbirth, your body naturally produces extra hormones, which function to relax the joints and ligaments (ie the tissue that connects bones to each other). This will make it easier for the baby to 'break through your hips' at birth. Unfortunately, the loose joints can cause back pain. Or, you have had a back injury before and reacted again when you were pregnant.

To help eliminate the pain, here are the tips:

• Pregnant women must stay active, for example exercising (just by walking). 
• Too much rest (silence) will actually aggravate back pain.
• Use sandals or flat shoes that are comfortable so that your posture remains stable. Flat shoes also prevent you from falling and injury.
• Avoid sleeping on your back, try sleeping on your side.
• Can use buffer.
• Try the following movements. In all fours, bend your back up, hold for a count of ten, repeat five to ten times, every day.

If your back pain persists, you may want to consult your doctor to see what else you might try. Be sure to consult your doctor before taking pain medications. A physiotherapy advice will help you to prevent it to become worse and also to manage your pain. Wallahuaklam.

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Depression cause back pain

Its Depression can lead to the Back Pain ?

Bismillahirahmanirahim,

As a Physiotherapist i would like to share regarding related of this two things ,Psychological and Physical illness are common often linked and it is not uncommon for depression to manifest itself as a physical pain,especially its related to the back and neck pain.

Most of my patient have this symptom that we cal tired. When we all tired drained or depress it seems to take too much effort to sit or stand upright and your posture increase deviate from the ideal norm.

When you sustain a bad posture it will definitely affected your alignment of the spine and it can lead to back problems over and above psychosomatic back pain.
in instance of severe depression, direct treatment of an associated back complaint will not provide and helping in the long term effect.

the individual concerned should consider seeking advice from counselor or clinical psychologist with combined a multiple course of anti depression drugs. From my experience i believe to say many of the drugs used to treat depression also had shown a positive effect to act as a pain relive and such the benefits of the two folds .

on the other hand back pain that persists over long period of time also can be a contributing factor to lead depression and sure this will need a treatment in its own right. Wallahuaklam.

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Bahaya memusingkan badan.

Bahaya memusingkan badan ketika Duduk.

Bismillahirahmanirahim, semalam merupakan hari yang mencabar dalam kehidupan saya sebagai seorang fisioterapi , didatangi oleh seorang pemuda yang dahulunya aktif bersukan dan juga bebas didalam melakukan apa apa kerja serta aktiviti , tetapi sekarang terlantar lebih dari 2 minggu kerana sakit belakang yang teramat sangat.
Mr x seorang jurutera muda di syarikat swasta , dalam seminggu 2 kali dia melakukan aktiviti yang sihat seperti bermain badminton dan juga berjoging tetapi dalam masa 4 hari ini tiba tiba dia merasakan ada perubahan yang kurang selesa telah berlaku pada tubuh badan beliau. Pada mulanya kaki beliau hanyalah merasa sakit dan juga menarik dari betis sehingga pergelangan kaki, tetapi hari ini beliau tidak mampu berjalan kerana kaki yang sakit dan juga merasa lemah .
Perjumpaan dengan pakar tulang telah membuka segala teka teki yang tersirat di pemikiran Mr X ini.
Apabila MRI dilakukan pakar tulang mendapati beliau telah mengalami masalah PID L4-L5 with Disc anulus tear.

Pesakit telah berjumpa dengan saya dan mengajukan pelbagai soalan , ini kerana beliau tidak percaya dengan usia yang muda , aktif bersukan dan sihat akhirnya beliau mendapat masalah ini.
setelah saya selidiki dan melakukan assesment terhadap beliau , maka jawapanya adalah ketika beliau di pejabat dan waktu itu ketika beliau memusingkan badan tanpa bahagian bawah badan mengikut pusingan badan tersebut ketika mengambil fail,secara spontan beliau terbatuk dan waktu itu terasa seperti ada renjatan elektrik di bahagian belakang beliau. Pada mulanya Mr X merasakan kaki kanan beliau terasa kebas , dan dia tetap meneruskan tugas seperti biasa , dan di malam harinya dia bermain badminton dengan rakan sekerja , tetapi waktu itu belakang badan beliau sudah mula rasa tegang , akibat merasakan tidak selesa , keesokan harinya Mr X ini pergi melakukan urutan tradisional kerana beranggapan kemungkinan salah urat.

Pada hari kedua keadaan Mr X semakin parah dan kesakitan yang dihadapi oleh beliau sukar untuk berdiri dan juga berjalan sehingga kaki kanan menjadi kebas, sakit dan juga lemah .Ini menyebabkan beliau pergi sekali lagi melakukan urutan tradisional, dengan anggapan kesakitan itu mampu dikurangkan dan beliau akan pulih. Sehinggalah keesokan harinya kesakitan yang dialami oleh Mr X semakin parah sehingga terpaksa dibawa ke hospital dengan bantuan rakan.

Alhamdulillah setelah ditahan di hospital selama 3 hari ,dengan kesakitan yang ditahan akhirnya ianya semakin pulih atas keizinanya serta ubat ubatan yang diberi dan juga rawatan fisioterapi yang konsistant. Para pembaca yang budiman apa yang saya cuba perjelaskan dalam situasi Mr x ini ialah kebarangkalian situasi yang sama ini pun boleh berlaku kepada kita tanpa kita sedar atau sedar.
Puncanya mudah hanya dengan memusingkan badan ,maka PID boleh muncul. Ini kerana tulang belakang kita boleh berada dalam keadaan yang paling tidak stabil ketika kita melakukan aktiviti memusing , ini kerana memusing badan ketika duduk meletakkan anda risiko mendapat sakit belakang yang amat tinggi dan juga merbahaya pada masa yang tertentu.
jika dilihat gambarajah ini

Mr X telah meletakkan dirinya ke bahagian yang paling berisiko untuk mendapat kecederaan pada bahagian belakang iaitu gambarajah yang paling hujung dimana tekanan pada tulang belakang pada waktu itu berada pada tahap maximum iaitu 275kg intradiscal pressure. Dengan ketinggian tekanan pada disc maka tidak hairan jika pelapik rawan tulang belakang ini boleh terkoyak atau tercedera jika berlaku impact yang maksima diruang abdomen seperti terbatuk atau terbesin. Apabila perkara ini berlaku ini bermakna anda berisiko mendapat masalah sakit belakang tanpa anda sedari , kerana kebanyakan individu beranggapan sakit belakang boleh terjadi jika mengangkat objek yang berat dan juga terjatuh. Tetapi dengan perkongsian ini ingin saya nyatakan bahawa sakit belakang ini kebanyakan beraku kepada kakitangan atau pekerja yang banyak duduk dan melakukan aktiviti dengan duduk seperti Pekerja Bank , kerani , Guru dan juga Pekerja Office.
Selain itu ingin saya kongsikan ketika berlakunya kesakitan belakang yang akut iaitu berlaku didalam tempoh 24 jam ,rawatan urutan bukan lah penyelesaian yang tepat ini kerana anda bayangkan jika anda ada luka di bahagian Jari , dan ianya masih berdarah adakah anda akan melakukan urutan dibahagian itu , semestinya tidak bukan , ini kerana kesakitan belakang yang akut mempunyai gejala inflamasi yang tinggi maka urutan tidak dibenarkan sama sekali.
Dalam Blog saya ini banyak info dan juga perkongsian tentang pencegahan , rawatan sakit belakang akut dan juga Kronik , serta tips tips yang anda boleh baca dan juga fahamkan , Di ruangan blog ini anda boleh mendapatkan ilmu ini untuk dikongsi dan juga sebagai persediaan jika menghadapi masalah ini. Wallahuaklam.

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Sakit belakang di waktu mengandung.

Sciatica ketika Hamil
Bismillahirahmanirahim, Petang semalam saya berjumpa dengan sahabat saya , lama tak jumpa dekat 4 tahun juga , secara tak sengaja dia datang hospital untuk mendapatkan rawatan kepada masalah asthma dia , sambil berborak apabila mengetahui saya seorang fisioterapi dia tanya saya tentang masalah yang dihadapi oleh isterinya iaitu kesakitan sciatica ketika mengandung , dan masalah ini berlanjutan apabila isterinya mengandung sekali lagi untuk anak yang kedua.

Apa yang ingin saya kongsikan disini ialah bagaimana ianya boleh terjadi kepada ibu ibu yang hamil?

Untuk pengetahuan anda semua masalah Sciatica ini biasanya terjadi pada trimester akhir kehamilan. ianya berlaku apabila ia mula menimbulkan rasa nyeri dan ngilu  disebabkan kesakitan sciatica menjalar dari punggung bawah hingga ke paha, betis, tumit, dan telapak kaki baik pada satu sisi ataupun kedua sisi kaki. Pekara yang ingin saya bincangkan disini adalah beberapa penyebab sciatica tidak dapat dicegah antaranya termasuk sciatica pada waktu kehamilan, ini kerana penyebabnya sangat semula jadi dan tidak dapat dipastikan punca utamanya, iaitu penambahan berat badan. Namun, berikut terdapat beberapa faktor yang mampu anda lakukan untuk mengurangi risiko kesakitan sciatica ialah.

• Ketika mengangkat beban yang berat anda haruslah belajar memahami serta gunakan teknik mengangkat beban yang betul.Caranya adalah mengangkat dengan punggung dalam posisi lurus sehingga tumpuan sudut beban daripada badan tepat pada pinggul dan kaki, pastikan tempatkan benda atau beban itu dekat dengan dada Anda. 
• Memahami objek beban yang igin diangkat itu , jangan dipaksa serta cuba hindari mengangkat beban yang terlalu berat.

• Bersenam dengan cara yang teratur untuk menguatkan otot punggung dan perut yang dapat membantu dalam  menyokong tulang punggung Anda. Anda boleh belajar melakukan senaman prenatal .

Senaman Prenatal

• Amalkan postur posisi tubuh yang baik ketika duduk, berdiri, dan tidur. Posisi yang baik mampu mengurangi tekanan saraf   pada bahagian punggung .

• Elakkan tabiat duduk sesuatu posisi dalam jangka waktu lama. Selingi dengan berjalan kaki dan aktiviti yang lain.
• Anda haruslah belajar untuk mengatur kenaikan berat badan ketika hamil yang kita ketahui ianya dapat membebani saraf sciatic. Wanita dengan BMI (Body Mass Index)  yang normal, selalunya mengalami kenaikan berat badan 1 kg setiap bulan, 4 kg pada trimester ke-2, dan maksimal 10 kg pada trimester ke-3, dengan total 15 kg kenaikan berat badan selama kehamilan ini merupakan kenaikan berat yang ideal dan normal ketika mengandung.
• Pastikan ibu ibu mengandung ini menggunakan flat shoes berbanding kasut yang ada tumit. kasut jenis ini mampu membantu menyeimbangkan berat tubuh ketika berjalan dan mengurangkan strain kepada bahagian belakang dan juga leher.

• Peka terhadap apa apa perubahan yang berlaku pada tubuh anda. Berhenti melakukan sesuatu jika Anda merasa penat atau kesakitan.
• Lakukan rawatan konservatif terapi panas dan sejuk pada bahagian sciatica ini kerana penggunaan electro modalities kepada ibu yang hamil adalah tidak digalakkan.
• Dapatkan nasihat dan juga rawatan di Klinik atau hospital berdekatan jika ianya mula mengganggu aktiviti sosial kehidupan anda.

Segala Tips yang saya kongsikan disini merupakan tips tips ringkas yang boleh membantu anda bagaimana untuk menguruskan masalah sakit sciatica ini , terutama bagi ibu ibu yang hamil.

Insyallah disini pautan tentang beberapa info yang boleh memberikan gambaran yang lebih jelas bagi memberikan anda pemahaman yang lebih berkesan. Wallahuaklam

1. Kenapa Sakit Belakang ?
2. Accupressure Untuk Sciatica
3. Posisi yang mendatangkan kecederaan pada bahagian belakang 
4. Hotpack atau Cold pack
5. SAFE LIFTING METHOD TO PREVENT BACKPAIN

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Posisi yang menyebabkan sakit belakang

Posisi yang mendatangkan kecederaan pada bahagian belakang 

Bismillahiramanirahim, salam ramadhan al kareem semoga kehidupan para pembaca dirahmati Allah dan diberkati olehnya. Pada malam ini saja saya nak kongsikan serba sedikit tentang tips tips mengelakkan kecederaan pada bahagian belakang.
Tahukah kita antara sedar dan tidak sedar banyak pergerakan yang boleh mendatangkan bahaya kepada bahagian belakang kita, secara tidak langsung ianya mengundang kecederaan yang serius dan juga tidak serius pada bahagian belakang kita.

Disini saya ingin kongsikan tentang apakah pergerakan yang paling cepat mendatangkan risiko kecederaan pada bahagian belakang kita

1. Pergerakan memusingkan badan.

Setiap bahagian belakang kita terdiri daripada beberapa jenis tulang belakang dan juga dibantu dengan otot, ligamen dan juga sendi,  pergerakan ini saya letakkan di rangking pertama kerana majoriti pesakit tidak mengetahui keburukan posisi ini, waktu bila posisi ini kita lakukan selalunya waktu kita duduk dan cuba mengambil barang dibahagian belakang kita, pada kedudukan begini bahagian tulang belakang akan memusing dan juga merenggang bagi mencapai pergerakan yang dilakukan tetapi keadaan ini mengakibatkan ligamen yang menyokong menjadi terlalu tegang dan juga posisi cakera rawan menjadi tidak setabil, anda bayangkan jika anda batuk atau terbesin dalam posisi begini tidak mustahil ligamen yang menyokong tulang belakang anda akan cedera serta berkemungkinan cakera rawan akan tergelincir, dan individu tersebut boleh mendapat sakit belakang yang agak teruk.

2. Posisi duduk slumpting.

Pada kedudukan begini saya letakkan di posisi rangking yang kedua,  saya melihat posisi ini amat berisiko kepada individu itu mendapat kecederaan pada bahagian belakang kerana posisi ini akan menyebabkan bahagian belakang individu itu menjadi stress dan juga hilang keseimbangan dari segi kekuatan dan fleksibiliti, posisi ini biasa dilihat ketika individu itu duduk di sofa atau kerusi dengan bahagian belakang badan tidak disokong oleh apa apa bahagian, ini akan mengakibatkan bahagian itu terdedah untuk cedera.

3. Posisi duduk bersila

Mungkin pembaca tidak sedarkan bahawa posisi ini juga mampu mengundang masalah sakit belakang, tetapi tidak lah berisiko tinggi untuk kita mendapat kecederaan melainkan kita duduk bersila bagi satu jangka masa yang panjang dan lama, terutama di majlis keramaian kita lihat ramai individu menghadapi kepenatan dan kesukaran untuk bangun apabila sudah duduk bersila terlalu  lama, ada waktunya juga bahagian belakang akan mula rasa lenguh dan diikuti dengan rasa kebas pada bahagian kaki.

4.posisi duduk bersimpuh.

Saya akui orang Melayu amat gemar duduk bersimpuh terutamanya kepada kaum wanita, tetapi tahukah anda posisi ini juga merupakan posisi yang boleh mengakibatkan bahagian belakang menjadi sakit dan juga lenguh, apa yang dikhuatiri ianya juga boleh menyumbang kepada keadaan tulang belakang menjadi bengkok atau Dikenali sebagai scoliosis, pada posisi ini kedudukan centre of graviti menjadi tidak seimbang hanya bahagian yang diletakkan beban badan akan bekerja lebih dan ini akan mengakibatkan bahagian tulang belakang dan ligament terpaksa bekerja keras bagi menahan beban badan dari atas belakang kita, posisi ini umpama kita bayangkan pancing yang menjadi bengkok apabila menahan beban yang berat dibahagian hadapan.

5.posisi membongkok

Saya rasakan posisi ini merupakan kegemaran kepada semua individu dan boleh dikatakan posisi paling kerap menyumbang kepada masalah sakit belakang, ini kerana posisi bongkok kerap digunakan apabila individu tersebut mengambil, mengangkat, dan juga membawa beban boleh dikatakan posisi yang paling banyak digunakan, posisi ini boleh mendatangkan kecederaan, ini kerana apa bila kita membongkok kestabilan pada bahagian tulang belakang akan menjadi lemah dan ligament serta cakera belakang terpaksa bekerja keras bagi menampung beban dari bahagian atas badan kita, sebab itu jika kita membongkok terlalu lama seperti menyapu sampah, perasaan lenguh pada belakang akan muncul, ini menandakan bahawa bahagian otot belakang anda bekerja lebih dari sepatutnya, dan jika waktu itu belaku apa apa impact yang kuat seperti kita mengangkat beban yang terlalu berat,maka 97% kita sudah melangkah ke arah mendapat kecederaan bahagian belakang

Oleh itu amat penting bagi kita bahawa kesakitan pada bahagian belakang juga boleh berlaku tanpa kita sedar, kerana secara tidak langsung ianya datang disebabkan posisi posisi yang saya nyatakan seperti di atas, apa yang saya harapkan dengan penjelasan ini ianya memberikan sedikit kesedaran bahawa sakit belakang boleh dicegah jika kita memahami bagaimana punca ianya boleh terjadi dan juga kesedaran tentang ergonomik yang betul dan postur badan yang baik amat bagus dalam mengatasi dan juga mencegah individu tersebut mendapat kecederaan tulang belakang ini. Wallahuaklam..

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Coccyx Pain syndrome

Coccyx Pain (Tail Bone Pain) and how to manage it.
Bismillahirahmanirahim , Pain in the coccyx or tail bone pain is a painful sensation that occurs in the bone or coccyx coccygeus located in the central part of the buttocks. Not infrequently, the pain may spread to the waist or other neighboring areas.When the tail bone pain, usually it will feel worse when performing certain activities, such as sit, rise from sitting to a standing position or when standing for long. Defecation and touch can be so sick. Specialized in women, pain in the coccyx can also make menstrual discomfort.

Why can coccyx pain? 

there are many conditions that make the tail bone pain such as trauma sit too long, sitting on a hard surface or narrow, the joint structure changes due to aging, or occurs after childbirth pervagina.

Tail Bone Pain Causes

Knowing the cause of a disease will help us in handling, maintenance, as well as the prevention of them from happening again.There are many different conditions that can cause pain coccyx. Even though in many cases, the exact cause of pain is unknown (idiopathic). The cause of coccyx pain that has been known to include:

Trauma. 

Injuries to the coccyx is the cause of coccyx pain most frequently. Injuries to the coccyx can cause bruising, broken bones, or dislocated coccyx. This could be due to:

1. Sitting with a strong or a fall in a sitting position on a hard surface. 
2. A direct blow to the tail bone, such as during exercise.
3.  Coccyx could be injured or broken during delivery. 
4. Repeated pressure or friction against the coccyx, as when cycling

Other less common causes of including bone spurs, nerve root compression (nerve impingement), localized infections, and tumors.

Tail Bone Pain Treatment

Pain in the coccyx or also called coccydynia or coccygodynia, usually disappear by themselves within a few weeks or months. However there are some attempts to reduce pain by:

1. Lean forward while sitting
2. Sit on a donut-shaped cushions 
3. Apply ice or a warm compress on the area of the coccyx pain
4. Taking painkiller , such as acetaminophen (paracetamol), ibuprofen or aspirin Guide by the Dr or Physician.

If the pain is not change ,then consult with a physician or orthopedic DR to further examination and treatment adjusted.

Possible treatments for chronic coccyx pain include:

• Physiotherapy. (Sacroiliac Joint Exercise)

A physical therapist will demonstrate how to perform pelvic floor relaxation techniques, such as deep breathing and exercises such as urination or defecation control to manage the pain . Sometimes the therapist will apply Massage Manipulation and Massaging the muscles attached to the tail bone that may help ease the pain.

• Drug and Surgery (Dr Management)

Injections of local anesthetic to the coccyx which can relieve pain for several weeks. Certain antidepressants or anti-epileptic drugs are usually also can reduce pain coccyx and Surgery will be the another option is usually only recommended when all other treatment of coccyx pain to no avail

The most important thing to prevent this problem is always keep in mind to Avoid staying in one position for long periods of time inactivity causes muscle tension and weakness .so Exercise regularly; exercise promotes strong and flexible muscles that keep you upright in a proper postural position. Wallahuaklam.

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Khypotic sign and problem

Khypotic posture defaulted 

Bismillahirahmanirahim and today my entry also related one of the posture defaulted that can cause a people get a back pain. Kyphosis is abnormal spine curved forward or backward excessively convex so that the person who experienced it will be a hunchback. Normally, upper back, or upper spinal area, it has a curve or curvature ahead but only slightly. Kyphosis occurs when a natural arch was larger than normal.

If someone has kyphosis, it can be seen the hump in the upper back. In view of the side, upper back look rounded or prominent. In addition, people with kyphosis seemed to bend over and have a visible rounding of the shoulders. Kyphosis can cause excess pressure on the spine, causing pain. It can also cause breathing difficulties because the pressure will be on the lungs.In contrast with scoliosis, where the spine curves to the side so as to form the letter C or S when viewed from behind.

Causes Kyphosis

Kyphosis can affect people at any age. However, it is rare in newborns because it is usually caused by the attitude of the body (posture) are poorly continuously. Kyphosis caused by poor posture called postural kyphosis. Other causes of kyphosis include:

1. Osteoporosis. Impaired bone-thinning can lead to bone collapse (compression fracture). Osteoporosis is most common in older adults, particularly women, and in people who have taken high doses of corticosteroids for long periods of time.
2. Disk degeneration. Gentle, circular disks act as cushions between the vertebrae of the spine. With age, these discs dry out and shrink, which often deteriorates kyphosis.
3. Scheuermann's disease. Also called Scheuermann kyphosis, the disease usually starts during the growth spurt that occurs before puberty. Boys are more commonly affected than girls. Rounding the back can worsen as the child finished growing.
4. Birth defects. If the baby's spine does not develop properly in the womb, the spine may not form properly, causing kyphosis.
5. Syndrome. Kyphosis in children may also be associated with certain syndromes, such as Marfan syndrome or Prader-Willi disease.
6. Cancer and cancer treatments. Cancer in the spine can weaken the bones and makes them more susceptible to compression fractures, as can chemotherapy and cancer treatment
7. Weakness of the muscles in the upper back

Treatment of Kyphosis

Not all cases of kyphosis should be quickly treated, you should seek treatment if kyphosis accompanied by: pain difficulty breathing fatigue , because the role of the spine that is so important in supporting daily activities, then his health must be considered. Treatment to help correct the curvature of the spine as a result of kyphosis can also help reduce the risk of complications later in life, such as arthritis and chronic back pain.

How to Treat Kyphosis?

Kyphosis treatment will depend on the severity and the underlying cause. In the case of Scheuermann's disease, a child may receive physical therapy, bracing or wire backstop, or corrective surgery. In the case of infection, the patient will be given antibiotics. In the case of tumors, surgical removal may be required. For the case of osteoporosis, may be given supplements of calcium and vitamin D to treat bone damage in order to prevent further deterioration of kyphosis. For kyphosis caused by poor posture, it does not require aggressive treatment. The following steps will help relieve the symptoms:

• Pain reliever (analgesic)
•  Physiotherapy (to help build muscle strength so back to normal) 

• Yoga (to raise awareness of the body and build strength, flexibility, and range of motion)
• weight loss backers (children and adolescents) 
• Chiropractic care (for repair spinal alignment) operation (in severe cases)

For most people, kyphosis does not cause serious health problems. It depends on the cause of kyphosis itself. If caused by poor posture, then usually someone suffering from pain and shortness of breath that will get worse in the future. Treat kyphosis early by strengthening back muscles, physiotherapy or chiropractic therapy may help relieve pain and other symptoms, long-term objective is to increase healthy posture. wallahuaklam..

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Lordosis sign and problem

Lordosis Posture defaulted

Bismillahirahmanirahim , Today i want to share some info regarding a posture defaulted that always haunted a people and will create a problem in a long term especially it one of the source of the back pain.

What are we know about lordosis ?
Lordosis is a disorder of the spine in the lower back that have excessive curvature, spine arched backwards excessively so as if the bones pulled forward. This condition is the opposite of kyphosis (hunchback). People with lordosis often lower back. When viewed from the left side of the patient's lower back form the letter "C". Moreover, it would appear that the abdomen and buttocks look more prominent.

As we understand in human spine, Spine naturally has a curvature in the neck, upper back and lower back to help absorb shock and support the weight of the head. Lordosis occurs when the natural curve in the lower back (lordotic curve), or lumbar region, curved than normal. This can cause excess pressure on the spine and will causing pain.

What is Cause of the lordosis ?

Often, lordosis appears in childhood with no known cause. This is called benign juvenile lordosis. However, lordosis may affect people at all ages.

Another potential cause of lordosis include

• Poor posture 
• Obesity Osteoporosis (brittle bones due to age)
•  discitis (interference disks between the bones of the spine)
•  Kyphosis (curvature exaggerated in the upper back)
•  Spondylolisthesis (a condition in which one vertebra slips forward or backward relative to vertabra next)
•  Achondroplasia ( a form of dwarfism )

How is lordosis diagnosed?
 The easiest way to check the lordosis is to lie on your back on a hard surface. You should be able to slide your hand under your lower back, with a little space. If you have lordosis, it will be left lots of wiggle room between the hands and the lower back.

The Orthopedic doctor makes a diagnosis of lordosis by observing a complete medical history, physical examination, and diagnostic tests. Diagnostic procedures may include:

• Xray. To view the condition of the bones through tests imaging with X-rays. 
• Bone Scan. A bone scan is a nuclear imaging method to evaluate changes in degenerative and / or arthritis in the joints; to detect bone diseases and tumors; to determine the cause of bone pain or inflammation. This test to rule out cases of infection or fracture. 
• Magnetic Resonance Imaging (MRI). This diagnostic procedure uses a combination of electromagnetic waves and a computer to produce detailed images of organs and structures within the body. This test is done to rule out related disorders of the spinal cord and nerves. 
• Computed tomography (CT) scan. This diagnostic imaging procedure uses a combination of X-rays and computer technology to produce image slices horizontally, or axial. CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scan is more detailed than X-rays in general.

What is the step action we need to take when we have diagnosed by lordosis ?

If the lordotic curve corrects itself when you bend forward (flexible curve), then you do not need to seek treatment. However, if, when bent, there are still remnants of lordotic curve (curve inflexible), it must seek treatment.

Additionally, you should seek treatment if you experience any of the following conditions: 

• pain 
• muscle spasms 
• tingling or 
• numbness difficulty urinating or defecating.

Treatment aims to help improve the curvature so that it can help prevent complications later in life, such as arthritis and chronic back pain. Treatment of lordosis will depend on the severity of the curvature of the spine and the presence of other symptoms. Treatment options include:

• Medication to reduce pain and swelling 
• Physical therapy (to help build muscle strength) 
• Yoga (to increase body awareness, strength, flexibility, and range of motion)
•  Lose weight to reduce the burden of spinal backers (children and adolescents)
•  Operations ( in severe cases)

What impact, if not treated?

For most people, this condition does not cause significant health problems if left untreated. However, because the spine is responsible for a lot of movement and flexibility, it is important to keep the spine to keep it healthy. If severe lordosis is not treated, it can cause an increased risk of problems in the spine, legs, and internal organs function , the worse is it can cause you have a risk to get a frequent low back pain .wallahuaklam

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Reason Sacroiliac Joint Pain

SacroiliacJoint Dysfunction & Treatment

Bismillahirahmanirahim, This entry is most related to the woman , is common symptom has been showing for women when their get pregnant and also for man who had a big stomach.

I want to ask why is this going to be important to you?

As we know Sacroiliac Joint pain is a condition that affects 15% to 25% of

patients with axial low back pain , I would like to say it largest axial joint in the body

Diarthrodial synovial joint , the function of this joint is more for designed primarily

for stability.

Function of SI joint ?

This joint is playing as transmission and dissipation of trunk loads to the lower extremity

with Limiting x-axis rotation , for woman it doing a great job as facilitating parturition (giving birth) and it provides a various types of motions as

1.      Gliding

2.       Rotation

3.       Tilting

           The muscle surrounding this SI Joint .

           This SI joint cover up muscles are functionally connected to SI joint ligaments, therefore their            actions can affect joint mobility and the Muscles involved:

·          Gluteus maximus and minimus

·          Piriformis

·          Biceps femoris

·          Quadratus lumborum

·          Erector spinae

Ligament involve in SI joint.

SI ligamentous structure is extensive and functions as a connecting band between the sacrum and ilia

·         Limit motions in all planes of movement

·         These ligaments are weaker in women

Sacrospinous and Sacrotuberous ligament and the function is Resists forward tilting (nutation) of the sacrum on the hip bone during weight bearing of the vertebral column

Interosseous ligament function are to Resists anterior and inferior movement on the sacrum; strongest ligament supporting the SI joint

Posterior (dorsal) ligament function to be Resists backward tilting (counternutation) of the sacrum on the hip bone during weight bearing of the vertebral column sacroiliac

Did you know the status aging of SI joint ?

This will give you the idea what will be happen  when changes begin in puberty and continue throughout life

·         Adolescence

Iliac surfaces becomes rougher, duller, coated in some areas with fibrous plaques

·         30’s – 40’s

Surface irregularities, crevice formation, clumping of chondrocytes

·         60’s

Motion may become markedly restricted

·         80’s

 Erosions and plaque formation are inevitable

Mechanism of Injury at SI Joint.

The mechanism of injuries related in SI joint most common due to combination of axial loading and abrupt rotation

In other problem is related in this mechanism are Pathological changes affecting SI joint structures

·        Capsular or synovial disruption

·        Capsular and ligamentous tension

·        Hypomobility or hypermobility

·        Extraneous compression or shearing forces

·        Abnormal joint mechanics

·        Microfractures or macrofractures

·        Soft tissue injury

·        Inflammation

The risk factor when have SI joint pain are

·         Leg length discrepancy

·         Gait abnormalities

·         Prolonged vigorous exercise

·         Scoliosis

·         Spinal fusion to the sacrum

·         Pregnancy (weight++)

SI Joint pain area and Referral patterns for SI joint pain most commonly can be found as

·          Radiation into the buttock

·          Lower lumbar region

·          Lower extremity

·          Groin area

·          Upper lumbar

·          Abdomen

Pain may worsen with:

·         Riding in a car

·         Weight bearing on the affected side

·         Valsalva

·         Forward flexion in standing position

 Pain may be relieved with:

·         Weight bearing on non affected side

What are the treatment for this problem?

Widely acknowledged to be one of the most challenging problems to treat .

Treatment modalities consist of:

1.       Physical therapy

2.       Orthotics

3.       SI Joint blocks

4.       Surgery

5.       Mobilization

 Treatments can be divided this way:

1.      Correcting the underlying pathology

2.      Alleviating symptoms

Physiotherapy in manage of pain SI I will put 5 area need to be concentrate ,there will be a

·         Stretching and strengthening the weak muscles

·         Pelvic stabilization

·         Restoration of postural and dynamic muscle

·         imbalances

·         Correction of gait abnormalities

Insha Allah , for next entry i will be share the type of the exercise that can be use to deal with the SI joint pain , and i hope this info will give you a clear idea regarding of the symptom and guideline to trace of this problem , wallahuaklam

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