Muscle energy technique — with this technique, the patient uses his or her muscles in a specific direction and from a precise position against a counterforce applied by the osteopath. Counterstrain technique — this technique implies the patient being moved away from a position where movement is restricted to one of greater comfort.
Osteopathic medicine provides drug-free non-invasive manual treatment that focuses on strengthening the musculoskeletal frameworks to: Increase or restore joint mobility; Relieve muscle tension; Reduce pain and stiffness in muscles and joints; Improve blood flow; Enhance tissue elasticity. Simple muscle strain or muscle spasm Dull, achy lower back pain. Strained muscles usually feel sore, tight, or achy.
Pain is usually concentrated in the lower back. Typical movements may be limited when a lower back muscle is strained, making it difficult to bend, shift positions, or walk or stand for extended periods. A muscle strain may become inflamed and feel tender to the touch. Briefly resting the lower back muscles allows them to relax, alleviating tension and spasms.
Osteopathy uses a combination of techniques to help settle muscles that have been strained or are is spasm such as massage, MET, Inhibition, counterstrain, PNF stretching and dry needling. Facet Sprain A sprain to the joint of the lower back commonly called Facet Joint sprain is very common and is often caused by sustained poor posture, lifting something heavy or repeatedly, or by trauma such as a fall or knock.
A back facet joint injury will cause lower back pain and potentially pain referred to your buttock or thigh. For example, if the joint is locked in a bending forward position, you will probably have difficulty arching backwards.
In acute phases, muscle spasm will attempt to protect the injured facet joint. Often a facet joint sprain and muscle spasm will occur together. The osteopathic treatment of this is a combination of techniques addressing the joint stiffness, such as manipulation, or mobilisation, or Muscle energy techniques.
Disc Injuries bulges, strains, prolapses, slipped disc Although these injuries do occur, they are a much less common cause of pain than a muscle spasm or joint sprain. The disc is the little cushion or shock absorber that sits between your vertebrae. Over time through repetitive strain or overuse, the disc can start to bulge a little. For some people, there is a clear link between their disc bulge and their back pain.
This can only be ascertained by completing a full assessment of the individual by a back expert along with their MRI. It may be coming from a simple muscle spasm or facet sprain. If it is a disc bulge you will have similar symptoms as a muscle spasm or joint sprain with or without pain going into your legs. Pain will go into your legs if the disc bulge is pressing on a nerve in your spine.
Sometimes you get leg pain, other times pins and needles or altered sensation or a lack of strength in the muscles of your leg. Osteopathic Treatment for a disc injury will be dependant on how severe you are when you first present to the osteopath. If you are in acute pain, the treatment will be gentle to encourage the body to start healing.
It will emphasise encouraging normal alignment of the hips, pelvis and spine, and to increase blood flow. Specific exercises which will relieve the pressure on the disc will be given.
Typically these are backwards bending exercises, but again it will depend on how severe the pain is and how limited your movements are. The aim of the osteopath is to relieve or reduce the pain and to help you get back to normal or improved movement and function.
The osteopath will take a detailed case history to understand if there has been any previous injury, repetitive strain, surgery, illness or emotional stress that can have an impact on the biomechanics of the spine, pelvis and hips.
Initial assessment Initial osteopathic consultations are up to 60 minutes in duration. The consultation includes obtaining a case history and other relevant medical and health information,9 assessment of red flags 10 and gaining patient consent for treatment.
If a red flag is identified, patients are immediately referred to their GP for assessment, and in more urgent cases eg. The patient completes a self-report pain questionnaire eg. The information provided in this case scenario suggests differential diagnoses of lumbar facet joint sprain, lumbar disc pathology or sacroiliac joint SIJ sprain. The osteopathic physical examination is informed by the case history and aims to support or exclude differential diagnoses.
Physical examination for the case presented. A physical examination would include the following: observation of standing posture active and passive range of motion of lumbopelvic, hip and thoracic regions occupation and ADL-oriented functional movement testing assessment of lumbar and thoracic segmental mobility and tenderness palpation of lumbar spine, abdomen and hip soft tissues orthopaedic tests, including straight leg raise, active straight leg raise test and SIJ pain provocation tests.
Osteopaths take a whole body, or holistic approach, so they also look at other regions of the body and determine whether they are impacting on the spinal dysfunction.
This usually involves examining how the pelvis is working with the spine i. Research shows that osteopathic treatment for lower back pain is effective. All of our osteopaths at Premier Sports and Spinal Medicine have many, many years of clinical experience in treating and managing lower back pain. If you are in severe pain, osteopaths tend to use very gentle techniques to improve movement, reduce pain, and calm the nervous system — which is propagating the pain signals.
Osteopaths will assess the presentation and apply the most appropriate treatment technique to provide the best result. As the pain lessens and your mobility improves, different techniques may be used to further improve the response and outcomes.
This may include rehabilitation for prevention of further episodes. In conjunction with osteopathic treatment, the osteopath may recommend some things that can be done to help manage pain.
This may include rest, heat packs, gentle exercise and stretching, supplements and improved postural changes to reduce repetitive strain e. Osteopaths look at spinal or lower back pain issues differently to other manual therapists. They look at spinal pain in conjunction with a holistic approach to the body. By looking at how the spine is being influenced biomechanically from other body regions, the osteopath may be able to reduce pain and improve mobility more efficiently.
Osteopaths can treat acute lower back pain or chronic lower back pain, which make up the vast majority of osteopathy treatments. Osteopaths understand that although traditional osteopathy treatment using their hands can be incredibly effective in the early stages of back pain, it will not help to make your back stronger and more resilient.
Back pain is also common during pregnancy, and osteopathic treatment is considered safe and gentle for both the mother and baby. There are a number of manual techniques that an osteopath can use in order to try and lower back pain. The focus here is to relieve muscle tension while also increasing joint movement. These techniques include massage, whereby the osteopath will directly apply pressure to soft tissues in your back with the purpose of relieving pain and reducing any tension in your pack.
Manipulation is another technique that may be used. This is when the osteopath will make a faster thrusting action with their hands at a specific point on your spine. This can help improve nerve function, lower inflammation in your back, and relieve pressure on the joints in your spine. Lymphatic pump techniques may also be used to aid the movement of lymph fluid in the body , correcting any blockages around the spine that may be causing pain.
If the osteopath is trying to increase the range of motion in your spine, they may find it useful to ask you to push against them, while they apply force back in a specific area. This is known as the muscle energy technique. These are just a handful of techniques that may be used. The manual techniques that are used in osteopathy will improve how your back works, as well as relieving pain.
This can lead to poor posture and musculoskeletal problems. Treatment involves gentle and subtle manipulation, especially of the muscles and soft tissues.
The doctor may stretch or massage the muscle. If there are signs of a displaced disk or other serious condition, the osteopathic physician may recommend doing some imaging tests and direct the patient toward conventional treatment.
An osteopathic physician can help prevent problems by pinpointing potential sources of referred pain in good time. They may suggest dietary modifications and changes to workplace ergonomics, such as seating and desk position. These techniques can help improve posture and reduce pain. Learning to lift with the legs, or example, and to stretch before exercise can reduce injury. Preventing injury means more time keeping active, less time off work, and freedom to enjoy the benefits of healthful living.
This can make it harder for the body to function adequately, and reduce the ability to cope with pain. Osteopathy has been shown to reduce sleeplessness and insomnia resulting from chronic pain. Studies have shown that osteopathic treatment can reduce sleep apnea in infants under 4 months old, but further research is needed to confirm this. Osteopathic treatments can positively impact the nervous, circulatory, and lymphatic systems, to improve body function and overall health. Some osteopathic techniques may enhance lymphatic health and bring about internal improvements in the body without needing invasive surgical treatment.
As with all treatments, osteopathy can involve some risks. After treatment, it is common for a patient to feel stiff, rather like after exercising, for 24 to 48 hours. Some patients may have a headache for a short while.
Older patients may experience less common side effects, include severe pain, rib fracture in patients with osteoporosis , numbness, and tingling. These include stroke , prolapsed disk, pain radiating to a limb, nerve damage, muscle weakness, and bladder or bowel problems. Acromioplasty is a surgical option for a torn rotator cuff or shoulder impingement. Learn more about the procedure, recovery time, and potential…. Knee arthroscopy is a surgical procedure. A surgeon inserts a tool called an arthroscope through a small incision.
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