Dubai sciatic nerve treatment UAE

Posted in UAE neck pain relief on May 20, 2017
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Back pain is a major problem faced by many working people in Dubai . Regular pain in the back muscles can hinder your functioning, concentration level, your effectiveness and efficiency. Continuously working for long hours in the office can cause severe back pain. Lack of exercise in our daily schedule is a major reason for facing the problem of back pain. We should pay attention to our posture and sitting position while working.

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Knee to chest workout

This is a simple and easy workout that you can practice at your home to relieve back pain in Dubai . For beginning this workout lie down on the floor. Move your right knee upwards with the support of your hands so that it comes close to your chest while keeping your left leg straight on the floor. Keep your shoulders straight on the floor and then bend down your leg so that it touches the ground. Now do this same process with the left knee while keeping the right leg straight. Do some rounds of this workout to relieve back pain.

pinched nerve in neck

What is lower back pain?

Neck and upper back pain is one of the most common pains a cyclist will experience, especially when riding longer distances, starting off on a new bike, or with prolonged climbs.

These symptoms include:

  • Pain at the base of the base of the head and neck, often causing headache
  • Burning, cramping and aching of the back of the neck, top of shoulders (upper trapezius, levitator scapulae) and into the upper back, in-between shoulder blades (scapulae)
  • Tingling and numbness extending form the neck down the arms — generally a sign that nerves are getting compressed.

Although there are many factors related to neck pain on the bike, one of the most common causes is related to reaching too far to your handlebars.

How can I tell if I’m reaching too far?

Quick self-check on a road bike: When assessing your reach, sit on your saddle, and position your hands on the brake hoods. Theoretically our hands should be in this position for roughly 70–80% of the time cycling, should feel comfortable, and allows for quick access to your brakes and (index) shifting.

In this position, the goal is to have your shoulder angle (the imaginary angle between your trunk and your arms) at, or slightly less than 90 degrees (see Fig A); Essentially a right angle between your trunk and your shoulders when riding, and with a slight bend in the elbows:

Fig A Note the 90deg angle between shoulders and trunk, as indicated

The amount of reach is affected by your stem length/height, handlebar size, saddle height, the brake hoods/shifters position, your general body flexibility/fitness, experience, your understanding proper cycling posture, and even your core strength- LOTS to consider!

As a general rule, anytime the shoulder angle exceeds 90deg, the likelihood of upper back and neck symptoms skyrockets due to to the additional stress and torque placed on these tissues in this position.

OK, so what can I do about it?

Start with the ‘low-hanging fruit’. There are 2 simple things to consider before going out and buying new equipment such as a shorter stem, or one with a more upright angle:

1) Consider saddle height- An all-too-common scenario is someone who’s saddle is too high, which leads to a greater reach. This happens because the angle of the seat tube: as you raise the saddle, the distance between the handlebars and saddle increases. Conversely, by lowering your saddle, you can oftentimes decrease your reach enough to make up that 0.5cm to 1cm reach differential. Try it out: Lower your saddle in 5mm increments, and re-check your shoulder angle, but also consider your cycling posture . . . read on!

2) Check your posture- This is always a biggie, even in highly-trained, seasoned cyclists. A rounded lower back brings your weight backwards, and puts your lumbar spine in a more vulnerable, flexed, weakened position, ultimately leading to greater reach. Correct it: rotate your pelvis forwards, and think of lifting “up” with your chest, with the aim of having a flattened lower back, and a more upright head and neck posture.

Fig B: Note the shoulder angle and neck position between ‘slouched’ (LEFT) and better, flat back (RIGHT)

This postural influence is also commonly why neck pain comes on towards the second-half of your ride, or with challenging hill-climbs: As you fatigue, your spinal and core muscles get tired, and you end up ‘slouching’ on your bike, leading to a greater shoulder angle, and thus a greater chance of neck/back pain while riding.

Give these few ideas a try, and if your neck symptpms continue to limit your cycling, it might be time to ask for advice from a bike-centric Physical Therapist and/or professional bike fitter in your area to assess your bike (vs body) as to the underlying cause of your symptpms.

Kevin Schmidt, MSPT, CMP, Bike PT is the Founder of Pedal PT: Bike Friendly Physcial Therapy in Portland, Oregon.

neck injury doctor

Making Your Unity Game Scream and Shout and Not Killing It in the Process

Common misconceptions about back pain and misleading information especially online can lead to confusion. One myth that has been brought to my attention recently, is that untreated back pain can get worse and eventually lead to paralysis.

There are two suppositions that underlie this statement. The first is that treatment always means surgery. Treatment for back pain can have a variety of forms. It doesn’t necessarily mean an operation. Conservative care including rest, exercise, medications, and physical therapy is the mainstay of treatment. Unless there is a neurological issue (problem), I will initially steer my patients towards a non-invasive approach. As a matter of fact, the vast majority of back pain patients are treated medically and not surgically.

The second supposition is that all back pain leads to a neurologic consequence. This is not true. Actually, most chronic back pain patients are not surgical and their disease does not threaten the neurological structures of the spine. With the right treatment plan, we can mitigate most of their back pain. Hopefully, this can be done without significant use of chronic narcotics.

However, new and unexplained back pain should be checked out immediately. There is a chance this new pain could be caused by a more serious and surgical pathology that if left untreated, could lead to serious medical consequences. Back pain runs the spectrum from completely benign (pain that can be fixed with medical treatment and does not have serious neurological risks) to more dangerous lesions that can threaten neurological function and need surgery. Each case needs to be individually evaluated to structure the appropriate work-up and treatment plan.

Take two different people:

· A 60-year-old women with breast cancer who develops sudden back pain and never had it before

· A 32-year-old overweight man who has had back pain for many years

Between these two cases, I am much more concerned about the older woman than I am of the younger man. The 32-year-old will probably need just x-rays and then be managed conservatively with behavior modification, weight loss, physical therapy, and an exercise plan. He does not have a high risk for needing surgery. The 60-year-old woman’s medical history and current condition indicates she may have something more serious such as a metastatic tumor. She may actually be at risk for paralysis. She would need to have multiple scans, see multiple specialists, and possibly have surgery.

There are so many layers to back pain that there’s no blanket statement to cover all scenarios. The best advice I can give is to see your physician for any new and unexplained back pain so it can be evaluated. If you have chronic lower back pain, you should also see a physician so a proper comprehensive treatment plan can be created for you. Only very specific types of back pain lead to paralysis and these pathologies are the minority of cases of back pain. It’s best for a physician to make the judgment call regarding the type of pain you may have.

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