Physiotherapy Blog. Sharing knowledge & Encouraging growth.
Spending time deciphering and interpreting the meaning of MRI and CT scans for our patients is a difficult task. How do we know what is normal and what is related to pathology? This blog explores a recent systematic review that provides evidence about the prevalence of normal age-related changes on spinal imaging of the lumbar spine and MRI changes in the cervical spine .
Read MoreDisc bulges are often associated with negative thoughts about prognosis and recovery and it can be challenging to educate our patients about their ability to recover. A systematic review was published in 2014 that shows how extrusions and sequestrations have a higher probability of spontaneous regressions. The bigger the bulge the better.
Read MoreThe flexion relaxation response is a phenomenon where the lumbar erector spinae muscles become silent at the end of lumbar flexion, and is an important part of being able to achieve full range. This blog explores the FRR and offers simple and easy treatment strategies for patients with low back pain.
Read MorePart 2 reviews the definition and diagnosis of seronegative spondyloarthropathies and inflammatory low back pain. It then continues to explore aspects of assessment, treatment and medical imaging more deeply. What drug therapies are involved? What is the gold standard for medical imaging? How should we adjust our treatments for this spectrum of low back pain disorders? All are valid questions to consider.
Read MoreSpondyloarthropathies are a group of related, but phenotypically distinct inflammatory disorders, including ankylosing spondylitis, psoriatic arthritis, reactive arthritis, enteropathic arthritis (also known as irritable bowel disease), and undifferentiated arthritis. One of the main clinical features of each of these conditions is inflammatory low back pain. This 2-part blog discusses the difference between the seronegative spondyloarthropathies and what features are indicative of inflammatory low back pain.
Read More