Chiropractors Treat Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is an often misunderstood condition which is characterized by symptoms in the hand such as pain and numbness. It can be very disabling, preventing many from being able to work. It is the most common nerve problem which affects the hands and can happen to anyone. To deal with this condition, many resort to invasive procedures such as surgery or injections which can have harmful side effects. Few realize that chiropractic is an excellent treatment option for carpal tunnel syndrome and often corrects the cause of the problem.

In order to understand how chiropractic can help with carpal tunnel syndrome it is important to know what the carpal tunnel is and the structures around it. The carpal tunnel is a small tunnel located inside the wrist. The top of the tunnel is formed by the alignment of the carpal (wrist) bones and the bottom is formed by the transverse ligament. There are nine tendons along with the median nerve which pass through the carpal tunnel. The symptoms of CTS are caused from the median nerve being irritated. The nerve can become inflamed and swollen causing pressure within the carpal tunnel.

The median nerve originates in the neck and travels under the collar bone, then passes down the arm. Finally, it passes through the carpal tunnel and to the hand muscles. The median nerve controls motor and sensory function to part of the hand. Pressure on the median nerve results in a disruption of signals from the brain to the hand which are relayed through the median nerve. If correction is not made to the median nerve, permanent problems can result. These can include partial or complete loss of movement, strength and sensation of the hand.

Some of the warning signs that may be related to carpal tunnel syndrome are numbness, tingling or weakness of the hands, neck tightness, swelling of the hands, abnormal sensation and clumsiness with use of the hands. Because the median nerve originates from the neck, it may become compressed anywhere along the course of its path. Misaligned bones of the neck, tight muscles of the neck, shoulder problems, cervical (neck) ribs, inflamed tendons and misaligned carpal (wrist) bones can all result in compressing the median nerve. This results in the symptoms associated with CTS.

Sometimes the median nerve can be compressed in both the neck and wrist, this condition is called "double crush syndrome." Double crush syndrome results in similar symptoms to carpal tunnel syndrome which is a reason for the failure of wrist only surgeries for treatment of carpal tunnel syndrome.

There are several causes of carpal tunnel syndrome. Occasionally it is congenital or with you from birth. It is usually caused from poor posture or ergonomics, repetitive movements done improperly over time, slips or falls, awkward hand positions from playing sports and work or hobbies such as bowling or racquetball. Pregnancy, birth control pills, diets that are high in salt and systemic diseases like diabetes can also contribute to the problem.

Incorrect posture while sitting at the computer can contribute to the cause of carpal tunnel syndrome. There is a tendency to sit with the shoulders rolled forward and the head thrust forward. This can cause misaligned bones in the neck, resulting in irritation of the nerves that form the median nerve. This can cause referred pain, numbness or tingling in the hand. Maintaining good posture while sitting can help to the problem. This should include sitting upright with the shoulders relaxed and the head upright over the shoulders. The wrists should be in a neutral position and you should avoid continuously flexing or extending the wrists. The computer screen should be set at eye level and straight ahead to avoid continuously turning the neck.

Chiropractic can very effective in preventing carpal tunnel syndrome and treating it once it has developed. Chiropractic treatment directly releases pressure from the nerves by correcting misaligned bones. CTS may result from misaligned bones in the neck or wrist. Chiropractors have extensive education in dealing with the nervous system and muscular problems in the body. A Chiropractor can perform an X-ray, wrist and hand evaluation to determine the extent of the injury. Based on the result, the chiropractor will recommend a treatment plan which may include chiropractic adjustments to work on the misaligned bones and therapy to work on inflammation or injury to the soft tissue, such as ligaments and muscles. Research has shown chiropractic to be just as effective as medical treatment in helping with carpal tunnel syndrome. Chiropractic is a good alternative because it is natural and does not have the complications and side effects which are often found with medical treatment.

Back Pain: Cancer, Stones and Tumors

Although not as common, prostate cancer, kidney disorders (stones) and spinal tumors represent a small percentage of back pain. Since low back pain is a common condition, many people ignore it and do not realize that there may be a more serious underlying problem that is causing the pain. All three should be considered as a differential diagnosis in order to treat it properly and effectively. Luckily, the majority of back pain is benign and self limiting.

The good news is that most low back pain is due to mechanical causes (muscles, joints) that can be treated and resolved within weeks to months.

Prostate cancer is the most common cancer in men, excluding skin cancer. After lung cancer it is the leading cause of cancer death in Canada. One in eight men will be diagnosed with prostate cancer and about one third of them will die from it. Men over the age of 50 have an increased risk. The cause of prostate cancer is both hereditary and environmental. Diets low in selenium, high in red meat fat, and/or smoke, increase the risk of prostate cancer.

Although there are no symptoms of early prostate cancer, symptoms such as chronic low back pain (months), difficulty with urination (starting and stopping), a poor stream during urination, a burning sensation while urinating or excessive urination at night should not be ignored.

These symptoms are not specific to prostate cancer, but can also indicate other urinary problems. Early detection is very important in order to treat it successfully. Yearly physical examinations are necessary for all men over the age of 50. Along with the examination of the prostate, be sure that your physician also orders blood tests, to measure the levels of prostate specific antigen (PSA). PSA is a substance that is produced in the prostate. Once the prostate is enlarged, there are higher levels of PSA found in your blood. An increased level of PSA in your blood, is one of the earliest signs of prostate cancer.

If prostate cancer is detected early, it can be treated. Surgery and/or radiation therapy are the primary methods of care. A proper diet is critical in reducing the risk of prostate cancer. Vitamin D and E supplements along with a reduction in overall dietary fat will decrease the risk of prostatic cancer.

Another rare source of back pain comes from the kidney. There are many conditions that can affect the kidney, which can refer pain to the low back. Any type of inflammation/infection in the kidney or an obstruction in the ureter can cause low back pain. Since kidney stones are probably one of the most prevalent kidney conditions, special attention should be directed to it.

The kidneys are the body's filtering system. The blood in your body passes through them and any unwanted substances are excreted in the urine. Unfortunately, if there is a build-up of certain chemicals or minerals, kidney stones are formed. There are many factors that play a role in the formation of these stones. Age, sex, a family history of kidney stones, the amount of water consumed, climate, and dietary factors are just a few things that contribute to their formation. Calcium oxalate (most common), calcium phosphate and uric acid are three different types of kidney stones.

The pain that is caused by kidney stones is due to an obstruction of the ureter, the organ which connects the kidney to the bladder. The bladder stores the urine until it's time to get rid of it. Kidney stones are not always smooth and round; they can have jagged edges. As these kidney stones pass through the ureter they scrape the inside of it, causing severe pain. Symptoms include blood in urine, a burning sensation while urinating, difficulty urinating, nausea/vomiting and/or excruciating back, abdominal or groin pain.

If you are experiencing any of these symptoms, you may have kidney stones and it's important to visit your doctor immediately.

Drinking a lot of water and keeping well hydrated is one of the best ways to decrease your risk of having kidney stones. The stones are usually small enough that you will pass them in due time. If the stones are too large to pass, shock wave lithotripsy and various types of surgical procedures are done.

Spinal tumors are probably the rarest of the three conditions that we are discussing. These tumors are uncommon but still represent a small percentage of causes of low back pain.

Spinal tumours can either be benign or malignant. Benign tumors of the spine grow slowly and are less aggressive. These tumors can become a problem when they get too large and compress or impinge the spinal cord or peripheral nerves. There are several benign tumors that originate in the spine, including hemangiomas, osteoblastomas and osteochondromas. Depending on the type of tumor and its characteristics it may be left alone or removed. Chemotherapy and radiation therapy may also be used

Why Choose a Career in Chiropractic?

A chiropractor career allows you to work with patients in a clinical setting. After completing an intensive and rigorous, science based program at a chiropractic school, you will be prepared to see patients and assist them with improving their health.

As the central column that connects the human body, the spine is much more than just a stack of bone disks in the middle of the back. Both bone and cartilage house the nerves that allow the central nervous system's communication to and from the brain. Misalignment of the spine can cause these communications to fail, resulting in decreased function and health problems. Patients with spinal misalignments may also experience other medical issues, including immune system problems or sensory perception issues, because the body's communication system is compromised.

In its founding case, the first chiropractic patient suffered a misalignment while working that required him to maintain a crouch; he also suffered hearing loss. When the profession's founder, D.D. Palmer, corrected the janitor's spinal misalignments, his hearing improved.

Spinal issues can often be caused by working in unnatural positions, for example remaining bent over for long periods of time or improper lifting of heavy objects. Another common source of modern complaints is the ergonomics in a standard office: computer monitors and keyboards are often not placed in a way that is conducive to the body's ideal position for work. Thankfully, chiropractic care can help correct torsion and misalignment.

Chiropractic school requirements include a person with the willingness to learn good bedside manner, and the ability to not only understand anatomical systems, but also to apply their analysis to the natural variations found in individual patients. Every person should have healthy spine alignment, and a chiropractic practitioner knows what healthy spine alignment is for each individual patient.

In general, a chiropractic career will put you in a clinical setting. As a healthcare professional, the hands-on experience you gain at a chiropractic school will assist you in helping patients lead healthier lives.

After graduation, you can practice in a group setting or work as an associate for another chiropractor. You may even decide to establish your own practice. A private clinic will, over the course of your career, allow you to improve hundreds, if not thousands, of lives. Patients appreciate chiropractic techniques both for their non-invasive nature, but also the rigorous education experienced by a doctor of chiropractic, which equips a practitioner to educate and explain the purpose for the care that a patient is receiving. The confidence you get from your education will help you lead people in their quests for optimum health and wellness.

Anterior Lumbar Interbody Fusion (ALIF): Risks of Spinal Surgery

Spinal fusion is an invasive surgical procedure performed to provide stability to the spine in the case of degenerative disc disease, nerve impingement and/or vertebral movement (spondylolisthesis). The surgery entails the removal of a disc or portion of a disc and the placement of a bone graft in the disc space that will fuse the vertebrae together. Additional grafts and hardware may be used on the outside of the spinal column for extra stability.

Anterior lumbar interbody fusion (ALIF) is one type of spinal fusion surgery often performed to treat degenerative disc disease in cases where a lot of disc height has been lost. Anterior fusion is performed through an incision in the stomach. There are other approaches that dictate approaching through the back or side, but the anterior approach is favored sometimes for its avoidance of back muscles and spinal nerves.

ALIF is generally not performed on people with spinal instability caused by spondylolisthesis (vertebral fracture and movement) or tall disc spaces. In these cases, a posterior approach may be combined with ALIF to provide additional fusion sites.

Risks

Every type of surgery comes with unique risks. Risks that all types of fusion surgeries share are failure of fusion, bleeding, infection and scar tissue.

Anterior fusion carries unique risks due to its approach from the front of the body. One potential complication after surgery is incisional hernia. A hernia is present when part of the lining of the abdominal cavity, called the peritoneum, pushes through a hole or weak part in the connective tissue surrounding abdominal muscles and forms a sac. Incision of the abdomen can cause such a weak spot or hole. A hernia may be visibly protrude and retract when coughing or lifting. If it is painful to the touch or does not retract when pushed inward, surgery will likely be needed to patch the weak spot in the abdomen. Parts of organs can become trapped in the hole as the sac grows and blood supply can become cut off, strangling that part of the organ.

For males seeking fusion of the L5-S1 disc space, retrograde ejaculation is a concern. The anterior approach to this spinal segment puts the surgeon's tools in close proximity with nerves supplying a valve that directs ejaculate from the body. If the nerve supply is damaged and the valve doesn't open, the ejaculate will be directed to the bladder. While this does not pose risks to the man's health or feeling of pleasure, it provides distinct complications with conception. An exact rate of incidence is unknown, but could be 5% or higher, according to Spine.org, for men seeking anterior fusion at the L5-S1 segment.

A minimally-invasive form of ALIF is available that requires a smaller incision and the use of a laparoscope, or camera, that guides the surgeon's tools. While this procedure generally promises shorter recovery time and less scarring, it also poses a unique risk to the great blood vessels, the vena cava and aorta, that lay over the spine and travel to the lower body. Normal ALIF may cause damage to these vessels at a 1-2% incidence rate; risk increases with laparoscopic anterior fusion as the surgeon has limited view and mobility inside the incision pathway. Interference with these blood vessels is a major concern as it causes excessive bleeding.

When considering surgery, it is always important to weigh the risks against the possible benefits. While most surgeons boast fusion rates of 95% and higher, studies exist that put the rate much lower. A small study with 85 participants found that overall fusion rate was 80%. The study also specified results by level of fusion; rate of failure was much higher (31%) at the L3-L4 level than at the L5-S1 level (16%). These are all factors to consider when deciding whether surgery and what type of surgery is worth the risk for your unique situation. More on the above study can be found at http://www.mendeley.com/research/anterior-lumbar-interbody-fusion/.

A Last Resort

Any type of surgery is a last resort, yet not all spine surgeons are hesitant to prescribe fusions. Fusions are mainly performed to relieve pain from degenerating spinal discs. Have you exhausted all other treatment options for your condition?

Unless you are showing signs of major nerve damage (such as impaired bowel and bladder function), surgery should be a long way off. First, months of physical therapy should be performed to strengthen the core muscles that support the spine. You should be tested for muscle imbalances and postural distortions that could have caused excess pressure on the affected disc. A chiropractor or osteopath should check your spine for misalignment and resolve any if found.

Inversion therapy can be pursued at home to increase disc space, or decompression treatments can be sought from a chiropractor with a decompression machine in his or her office. Decompression treatments may or may not be covered by insurance, but they usually cost around $2,000 total without insurance. This is less than the out-of-pocket cost of spinal surgery for most people with insurance.

When considering various options for back pain treatment, be sure you're informed of the risks and benefits. Anterior lumbar interbody fusion poses unique risks that should be understood before anything is signed off on.

What You Will Become When You Grow Up

The question is asked to all of us from the very age when we don't even know what is what. The question may be asked just to start a conversation or just to get ideas for children, but this is a very important question for kids as well as grown up adults.

The future is yours if you have planned it. You can become what you like you must believe and understand this simple fact. Most of what you have become is purely because of your own actions and interactions.

Most of us actually didn't plan to be what they are now. Yet when some one asked them What you will become when you grow up? We answered with professions like Doctor, Engineer Pilot, Scientist, and Teacher. This was taught to us by either our parents are because we were inspired from some one who belonged to that profession.

The life strategies are very little discussed in child hood but in my opinion if you are a young person or an adult parent you need to think and plan different variations and make sure you know what you or your kids want to be. Once you know what you will be good at and what will be most beneficial you can answer this question with great confidence and pride.

I am a grownup adult with 2 kids and I still think what will I become in 5 years from now and I also think what my Son Momin and my daughter Jannat will become when are grown. Planning a profession is not only for kids or students. You need to keep thinking and planning about it during your whole life span. Many people might say what the hack this guy is trying to say that you impose your idea upon kids, those people are right in a way because in their opinion they want to give their kids independence. But think about it do the kids want that independence of being left alone to decide their future. Don't you remember when you were a kid you always wanted your adults to guide you. Did you not ask your parent teacher or elder friend "What should I do in future?". Some of us even have grievances that they had no one to guide them.

Our kids always need us. Independence is fine to some extent but kids always need help and ideas from their parents. We can share our experiences or success or loss and even our grievances with them. You need to do the research about what is new and what are future prospects in different professions. If you can do the research you will do a great favor to your kids by educating them life they are to face when they grow up.

In the past 10 years would has changed a lot but the professions still remain more or less the same. Internet and communications have been very well developed. In my opinion the science and invention has been actually halted because of the over attention of people in internet. There are ever more ways to waste time now than ever. You can have every one chatting bogging, putting pictures, making countless friends just for the sake of making friends. We are all busy trying to learn internet and try to make some thing out of it however only a fewer percentage of us are making most of it.

Internet is not bad. In fact it is very good now a person in the middle of no where can share his/her invention or research to the world with out much effort and expanse. However the over usage of this technology for friendships, chat, telephony and sex has made it a rather impediment in the developing.

On to the learning about what one wants to be there are millions of Internet articles which will teach you what professions are going to come up in the future and now its not too difficult to get in depth information about the professions. Here are some of the things to consider.

Doctors, Engineers, Banker, Pilots, Lawyers, and teachers are the conventional professions. These professions are still on top of the lists. Besides that there are some new professions which are emerging and are very successful.

Some of the new professions are Network Engineer, VOIP Expert, Computer Programmer, Internet Consultant, Environment Scientists, Web Developer, Social Compliant officer, bill collector and many others. For the readers convenience I have compiled a list of some popular professions - you can do a research on these professions and try to increase your knowledge and understanding. This way you can be more confident in advising kids and planning your own life as well.

Accounting

Acupuncture

Architecture

Architecture

Architecture & Engineering

Architecture & Landscape

Athletic Trainer

Audiology

Certified Dietitian/Nutritionist

Certified Public Accounting

Certified Shorthand Reporting

Chiropractor

Clinical Laboratory Technician

Clinical Laboratory Technologist

Creative Arts Therapist

Cytotechnologist

Dental Assisting

Dental Hygiene

Dentistry

Design Corporation

Doctors (Physicians)

Doctors (with 3-year limited license)

DOs)

Engineering

Engineering

Engineering & Architecture

Engineering & Land Surveying

Engineering & Landscape

Gynecology

Health

Interior Design

Joint Limited Liability Companies

Land Surveying

Land Surveying & Engineering

Landscape Architecture

Landscape Architecture

Licensed Clinical Social Worker

Licensed Master Social Worker

Marriage & Family Counseling

Massage Therapy

Medicine - 3-year limited license

Medicine (Physicians, including MDs

Mental Health Counseling

Midwifery

Nurse Practitioner - Acute Care

Nurse Practitioner - Adult Health

Nurse Practitioner - College Health

Nurse Practitioner - Community Health

Nurse Practitioner - Family Health

Nurse Practitioner - Gerontology

Nurse Practitioner - Holistic Nursing

Nurse Practitioner - Neonatology

Nurse Practitioner - Obstetrics

Nurse Practitioner - Oncology

Nurse Practitioner - Palliative Care

Nurse Practitioner - Pediatrics

Nurse Practitioner - Perinatology

Nurse Practitioner - Psychiatry

Nurse Practitioner - School Health

Nurse Practitioner - Women's

Occupational Therapy

Occupational Therapy Assistant

Ophthalmic Dispensing

Optometry

Pharmacy (pharmacist)

Physical Therapist Assistant

Physical Therapy

Physician Assistant

Physicians

Physicians, 3-year limited license

Podiatry

Professional Engineering

Professional Engineering & Land

Professional Engineering & Landscape

Psychoanalysis

Psychology

Public Accounting

Registered Physician Assistant

Registered Professional Nurse

Registered Specialist Assistant

Respiratory Therapist

Respiratory Therapy Technician

Social Work (LCSW)

Social Work (LMSW)
Specialist Assistant
Speech-Language Pathology
Surveying
Veterinary Medicine
Veterinary Technology

Maximising Your Health - The Benefits of Chiropractic Care

The continued rise in the usage of chiropractic care has been ongoing. Studies continue to demonstrate the numbers rising and the increase of people using chiropractic health care. In one issue of American Journal of Public Health, a study was published entitled "Use of Chiropractic Services from 1895 through 1991 in the United States and Canada". The conclusion of this study was that the number of visits to chiropractors has more than doubled in the past 20 years. Many recommend this particular treatment method due to the non-invasive approach and its insistence on awakening the body's natural ability to heal and become healthier, stronger and more resilient.

The Healing Benefits Of Chiropractic

Most people in their everyday lives have things happen that effect their bodies. Dysfunction in their musculoskeletal system can benefit from chiropractic care. From pain relief, injury rehabilitation, optimal athletic performance, aging and improved immune function. These are all some the benefits a person may undergo when they have misaligned spine, back, or neck. For people who need to be physically active for their work, sport and daily responsibilities, the presence of such dysfunction disables them from performing well. This is due to the fact that any form of movement on the traumatized area of the body can result in stress and possibly more damage causing more pain and discomfort.

Regardless of the cause of your initial pain and problems, among the many benefits research shows you may enjoy as a result of chiropractic care are as follows:

• better movement and improved circulation

• lower levels of lactic acid

• higher oxygenation and better nutrient delivery to cells

• increased flexibility

• improved comfort and decrease or elimination of pain

• Faster recovery time

• Reduced muscle spasm

• Prevention of future injury and improved immune function

• More relaxed feeling

The Overall Approach

If you want to enhance the benefits of chiropractic care, it is best to combine your efforts with an overall approach to your health and well being. Health is not merely the absence of pain and symptoms. If you have ever had a cavity, you know that by the time the pain shows up, the damage to your tooth is already there. The healthier you are, and the healthier you become the greater the potential benefits of your chiropractic care. Minimise dis-ease and maximise your health. The relief from any pressure or source of discomfort and irritation will allow your body to attain maximum mobility and better performance.

Some general recommendations to develop a routine and get the maximum health benefits are the following:

• Keep your body properly hydrated.

• Follow a healthy nutritional plan, including lots of raw organic foods and leafy greens.

• Do some stretching exercises or develop a healthy exercise routine.

繚 Maximise your oxygen intake through some forms of aerobic and anaerobic exercise.

Additional Benefits of Chiropractic Care

There is still a small percentage of the population who have misconceptions about the benefits of chiropractic care. However, research continues to be done, changing these perceptions and gradually more of the scientific community are showing greater interest in the healing potential that chiropractic may represent. One of the misconceptions being that it is not a valid form of treatment and is used only for mild cases of back pain, headaches, and the like. However, chiropractic adjustments are being researched to investigate the benefits even to those suffering from extreme cases of spinal or vertebral misalignment and other health problems.

Many chiropractors have patients who have benefited beyond musculoskeletal problems, these include:

• women may have improved comfort during pregnancy and labour

• minimise the risk of scoliosis in an infant and improve their postural development.

• Improved immune function and resilience possibly preventing asthma, ear infection, bedwetting, among other things.

• more energy, productivity and physical stamina in adults

• For senior individuals, they attain better balance, improved sleeping and prevent injury from falls.

Some of the results and benefits reported from patients who have undergone chiropractic care include the following:

• Improved immune and nervous system function

• greater vitality

• improved breathing and exercising

• improved digestion and bowel function

• improved vision

• Improved overall health.

Study and research continues as we look at the cause of health and the benefits of chiropractic care!

Following chiropractic adjustments, your body may start to improve movement and alignment of the spine and spinal structures. In many cases, a patient will immediately experience relief for a problem soon after undergoing chiropractic care. Restoring and building health from the inside is one of the advantages of opting for chiropractic care over surgical or medical procedures that often require a long recovery period. In other cases if the damage or misalignment is more severe, a person may be sore and still achy after care. Some people may take longer to heal and demonstrate improvement, they may also need to make other lifestyle improvements to maximise their health and wellbeing along with improved pain free movement.

If you approach your health from the perspective of a way of life, and give your body and mind the essentials for maximising your health, chiropractic care may be a key ingredient.

Help My Back Pain - Therapies to Ease the Misery

Therapy to help back pain
Lower back pain sometimes known as Lumbago or Sciatica is a common disorder affecting some 60% of the adult population, seeking to get rid of back pain. So great is the problem, that in the UK alone, some 150 million man days are lost each year in industry, as a result of absenteeism attributed to lower back pain. Generally, the symptoms of low back pain are due to benign musculoskeletal problems often arising from strains in the lower back muscles or soft tissue, and these ease considerably within a few weeks using common sense measures to address.

To help back pain, establishing of the fundamental origin of the back pain with a GP is usually made through a combination of a medical history, physical examination, and, when necessary, diagnostic investigation, such as x-ray, MRI, or CT scan. Usually, low back or lumbar pain can be treated conventionally, with one recommendation being physical therapy which may help alleviate the symptoms, and give back pain relief. A summary of some of the more common therapies used to provide back pain relief are listed below:-

Acupuncture
Acupuncture treatment originated in China over two thousand years ago. It is reputed that the first observations were of soldiers, wounded in battle by arrows, and how the arrow 'punctures' caused therapeutic effects in different parts of the victims body well away from the wound area. The general theory behind traditional acupuncture is based on patterns or meridians of energy flow through the body that are essential for health. This is referred to as Qi or Chi and sometimes Xue (blood). Disruptions of this flow are thought to be the primary causes of pain and disease. Acupuncture attempts to correct imbalances of flow, thus helping to restore the patient's health.

How acupuncture works
Broadly, acupuncture involves stimulation of points along these energy flows through a range of techniques. Stimulation is typically performed using very fine needles that create gentle sensations. Each of these needles are inserted into specific points along these 'energy pathways' or "meridians".

Can acupuncture help my back Pain
Acupuncture is considered useful in treating such conditions as lower back pain, sciatica, stiffness, and strains. In traditional acupuncture theory, pain arises due to blocked energy along 'energy pathways' or "meridians" of the body, which are 'cleared' when acupuncture needles are inserted. In modern medicine, scientific reasons have been put forward for the apparent benefits that acupuncture provides for the sufferers of lower back pain. One observation is that acupuncture stimulation causes the releases neurochemicals and hormones, regarded as producing signals that soothe the sympathetic nervous system and release natural opioids which provide back pain relief.

Alexander technique
The Alexander Technique is a method that works to change (movement) habits in our everyday activities. It is a simple and practical method for improving ease and freedom of movement, balance, support and coordination. The technique teaches the use of the appropriate amount of effort for a particular activity, giving you more energy for all your activities. It is not a series of treatments or exercises, but rather a re-education of the mind and body. The Alexander Technique is a method which helps a person discover a new balance in the body by releasing unnecessary tension. It can be applied to sitting, lying down, standing, walking, lifting, and other daily activities

How Alexander Technique works
The Alexander Technique shows its students how to learn to do whatever they currently do as easily and efficiently as possible. It is concerned almost exclusively with process - how an activity is performed not what it is. Although there are no exercises, Alexander technique shows how to exercise more efficiently, with reduced risk of injury. Many, seeking back pain relief are drawn to the technique because of its reputation to help back pain or lumbago, stiff necks and shoulders, and other conditions such as carpal tunnel syndrome. Alexander teachers are not doctors and do not diagnose diseases.

Can Alexander Technique help my back pain
By becoming more aware of how the body works and learning how to "undo" bad body practices, those suffering with long term or chronic back pain are able to soothe and ease their symptoms. Pupils of Alexander technique can learn how to pupils how to liberate needless muscle tension and, freer means of movement which impose less strain and therefore back pain relief.

Bowen Therapy
The Bowen technique is a soft tissue remedial therapy, named after its innovator Tom Bowen. This therapy is not considered massage, but as a non-invasive muscle release and integration technique, but similar to massage, it releases muscular tension. Its clients describe experiences of significant relaxation after a session.

How does Bowen Therapy work
The technique involves the therapist using fingers or thumbs to move over muscle, ligament tendon and fascia in various parts of the body. The work is very subtle, relaxing and gentle involving no hard or prolonged pressure. During a session the client will lie on a therapy table or bed, although the work can be effectively carried out with the client in a chair.

Can Bowen Therapy help my back pain
The most common presentation is for back pain relief and here Bowen excels. The average number of treatments would be two or three for most therapists. There are always going to be exceptions to any rule, and certain people will need further or even on-going treatments. Sports injury is a field of remedial therapy that is becoming very aware of The Bowen Technique. The Bowen Technique is being used at high levels of sport in this country, with rugby clubs and premiership football clubs showing interest. Bowen therapists advocate that this can reduce or eliminate or help back pain and promote general health
Source: European College of Bowen

Chiropractic
Chiropractic is a technique which focuses on the musculoskeletal and nervous systems. The principal of Chiropractic is that the key to health is the nervous system with the spine at its centre. If the spine is aligned correctly, then optimal movement can occur and the patient can achieve improved health.

A chiropractor will generally address "subluxations"- misalignments to the spinal bones responsible for reduced movement or or loss of normal posture, causing impairment to the nervous system or nerve irritation.

How does Chiropractic work
In seeking to help back pain, a chiropractor would usually examine the patient's spine and review any patient history to determine any previous injuries, accidents, or tensions that may be impairing normal function. Sometimes the Chiropractor will order an X-ray to help determine this. A common form of Chiropractic treatment is a spinal manipulation or adjustment. This is generally carried out by hand manipulating the spinal joints affected in an attempt to increase or unlock the joints mobility.

Additional tools are sometimes used to promote healing including rehabilitative exercise, nutritional and lifestyle improvement programmes. The amount of, and frequency of the treatment required would vary according to the nature and severity of the condition.

Can Chiropractic help my back pain
A chiropractor will attempt to focus on the fundamental mechanical and neurological trouble in the spine to decrease the back pain and other symptoms caused by reduced spinal function. He will concentrate on natural health care working to encourage the body to self repair back towards improved health. Chiropractic care as a therapy for back pain in general is safe when employed skillfully and appropriately. Manipulation is regarded as relatively safe, but as with all therapeutic interventions, complications can arise, and it has known adverse effects

Feldenkrais
The Feldenkrais Method is a somatic educational system designed by Mosh矇 Feldenkrais (1904-1984), based on physics, neurology, and bio mechanics. The Feldenkrais method is designed to improve movement repertoire, aiming to expand and refine the use of the self through awareness, in order to reduce pain or limitations in movement, and promote posture, and general well-being. The Feldenkrais Method is often regarded as falling within the field of complementary medicine, and is a means of re educating the neuromuscular system, redefining movement to increase efficiency and reduce stress

How does Feldenkrais work
Feldenkrais Method is taught in two complimentary formats - "Awareness Through Movement' taught through classes and Functional Integration taught on a one to one basis.

In teaching 'Awareness Through Movement' classes, the teacher will lead the class through a sequence of movements involving standing, sitting in a chair or sitting or lying on the floor. One of the key aims is to instruct pupils how to decrease unwarranted muscular exertion and develop understanding of their whole self during movement.

In a Functional Integration lesson, a trained practitioner uses his or her hands to guide the movement of a single pupil, who may be sitting, lying or standing. The practitioner uses this "hands-on" technique to help the student experience the connections among various parts of the body (with or without movement). Through precision of touch and movement, the pupil learns how to eliminate excess effort and thus move more freely and easily. Lessons may be specific in addressing particular issues brought by the pupil, or can be more global in scope. Although the technique does not specifically aim to eliminate pain or "cure" physical complaints, such issues may inform the lesson. Issues such as chronic muscle pain may resolve themselves as the pupil may learn a more relaxed approach to his or her physical experience-a more integrated, free, and easy way to move Students are taught to become aware of their movements and of how they use themselves, thus discovering expanded movement options.

Can Feldenkrais help my back pain
The theory behind Feldenkrais is that inefficient movement behaviour may lead to avoidable tension and movement constraint leading to back pain. The Feldenkrais technique provides for expanded movement alternatives and enhanced posture which can provide backache relief or back pain relief, whilst developing greater efficiency and freedom of movement

Massage therapy
Massage is the manipulation of superficial layers of muscle and connective tissue to improve the function and encourage relaxation, well-being, and improve posture dysfunction. It involves acting on and manipulating the body with pressure - structured, unstructured, stationary, or moving tension, motion, or vibration, done manually or with mechanical aids. Target tissues may include muscles, tendons, ligaments skin, joints, or other connective tissue, as well as lymphatic vessels, Massage can be carried out using the hands, fingers, elbows, knees, forearm, and feet. There are over eighty different recognized massage techniques with many used to help back pain.

Massage manipulates the soft tissues of the body by rubbing, kneading, stretching and other methods for therapeutic effect. As a result, muscle and tissue is made more pliable, energising lymph circulation and promoting blood flow. Therapists will employ a range of techniques and methods during treatment sessions.

How does Massage therapy work
Massage manipulates the soft tissues of the body by rubbing, kneading, stretching and other methods for therapeutic effect. As a result, muscle and tissue is made more pliable, energising lymph circulation and promoting blood flow. Experienced therapists will employ a range of techniques and methods during treatment sessions to help back pain. There are many types of massage therapy for back pain in addition to acupressure or Bowen (see above) such as:-

Deep Tissue Massage
Used to relieve severe tension in muscle or fascia, often used where the patient suffers consistent lower back pain caused by specific muscular-skeletal conditions. It concentrates on the underlying muscles rather than those at the surface in order to help back pain.

Swedish massage
(or Classic massage in Sweden!) can be used to help back pain, by improving circulation and easing joint stiffness. Swedish massage uses five styles of strokes to massage: Sliding, kneading, tapping, friction, and vibration

Hilot
Hilot is a traditional healing and massage technique originating in the Philippines that can be employed to relax stressed muscle and joint manipulation to treat muscular-skeletal conditions as a lower back pain therapy.

Trigger point therapy
Can be used to help back pain and poor posture, by helping to release muscles in spasm, employing techniques to release 'knotted' muscles, and freeing up circulation in the affected area.

Traditional Chinese massage
There are two types which can provide back pain relief and - Tui na (the Chinese equivalent of physiotherapy) which concentrates on pushing, stretching and kneading the muscle, and Zhi Ya which utilises techniques of pinching and pressing at acupressure points. These originate from Traditional Chinese Medicine. Although Tui Na is described as massage in the West, in TCM it is not. In TCM massage is called Anmo, which forms the basis of Japan's Anma.

Can massage therapy help my back pain
Carried out effectively by experienced practitioners, knowledgeable of the human body and conversant with muscle imbalance massage therapy can be a useful therapy for back pain. Massage can also assist in relieving lumbar pain by reducing tension in turn alleviating poor back posture caused by muscle imbalance. Relief of mental tension and stress by using massage is also useful a useful therapy for back pain helping those within sedentary occupations involving hours of sitting in front of VDU's. Although massage is undoubtedly useful for back pain relief it may not address the underlying condition so GP advice should be sought.

Osteopathy
Osteopathy is a non invasive holistic drug free manual therapy that centres on total body health by treating and strengthening the musculoskeletal framework, which includes the joints, muscles and spine. Its aim is to positively affect the body's nervous, circulatory and lymphatic systems, enabling an environment of self healing. Osteopaths do not simply concentrate on treating the problem area, but use manual techniques to balance all the systems of the body, to provide overall good health and wellbeing. The practice of Osteopathy was established in the late 1800s in the United States of America, by. Dr. Andrew Taylor Still with the aim of using manual 'hands on' drug free techniques to improve circulation and correct altered biomechanics.

How does Osteopathy work
Osteopathy employs manual therapies for the treatment of many neuromusculoskeletal pain syndromes, such as lower back pain and tension headache, alongside exercise and other rehabilitative techniques. An osteopath will utilise a range of gentle hands-on techniques such as soft tissue stretching, deep tactile pressure, and joint mobilisation or manipulation.

The key principles of osteopathy are based on all parts of the body functioning together in an integrated manner. If one part of the body is restricted, then the rest of the body must adapt and offset this, which can lead to inflammation, pain, stiffness and other health conditions. When the body is free of restrictions in movement, Osteopathic treatment helps to reduce pain stress and enhance mobility, creating an environment of self healing for the patient's body.

In some cases, Osteopaths can complement the GP's advice on back pain by for example, by easing the pain caused by joint and muscle stiffness, by improving joint mobility and the flow of blood to the joints, to supplement maybe a pain killer prescription issued by the GP

Can osteopathy help my Back Pain
Osteopathy is recognised by the British Medical Association as 'a discrete clinical discipline' which can compliment mainstream medicine, and trials demonstrate its effectiveness in treating back pain, with GP's often referring patients to osteopaths for private treatment. Osteopathic technique is believed to be effective in providing back pain relief by:-

Reducing of herniated or bulging discs and correcting any internal displacement of disc fragments
Inhibiting nerve impulses
Releasing adhesions around prolapsed discs
Calming tenses muscles aggravated by sudden stretching
Providing respite for muscle spasm
Providing advice on exercises for the lower back, posture, safe lifting, workplace or workstation ergonomics, stress, and diet

Physiotherapy
"Physiotherapy helps restore movement and function to as near as possible when someone is affected by injury, illness or by developmental or other disability. It uses physical approaches to promote, maintain and restore physical, psychological and social wellbeing, taking account of variations in health status. Physiotherapy is science based, committed to extending, applying, evaluating and reviewing the evidence that underpins and informs its practice and delivery. The exercise of clinical judgement and informed interpretation is at its core" Ref: The Chartered Society of Physiotherapy

Lower back pain can be treated by Orthopaedic physical therapists who diagnose, manage, and treat disorders and injuries of the musculoskeletal system including rehabilitation after surgery. Orthopaedic therapists are trained in the treatment of back pain and spinal conditions, joint and spine mobilisation or manipulation and therapeutic exercise, in order to enable backache relief.

How does Physiotherapy work
Physical movement is seen as a key important therapy in treating lower back pain. Physiotherapy can be described as a drug-free technique or therapy employing a range of procedures, such as joint manipulation and mobilisation, physical stretches and exercise routines, massage therapy, ice and heat therapy, ultrasound, and breathing exercises. Although a GP may refer a lower back pain sufferer to a physiotherapist, a patient can go directly to the latter, although in some instances, the physio may require a formal GP referral.

Can Physiotherapy help my back pain
Physiotherapy can identify several factors as potentially leading to incidences of lower back pain, including trauma or injury, arthritis, poor posture, muscular strains and weaknesses, ligament strains, sciatic conditions, and disc trouble.. Dependent upon the root cause of lumbar pain, a physio can treat these issues with a number of procedures. These could include posture and ergonomics guidance, advice and remedial movement courses, where, manipulation, stabilisation training, stretching and exercise routines to give backache relief.

Pilates
Pilates is a holistic exercise technique, intended to stretch, strengthen and condition the body to balance, engaging both mind and body, through an anatomical comprehension of the body's muscular-skeletal systems. Through a comprehensive exercise or programme, the patient or student can concentrate on focus area whilst carrying out for the client. Classes will focus on specific areas individually whilst carrying out routine that incorporates into an environment where optimum muscular- skeletal function and mobility can be restored

How does Pilates work
Pilates is carried out through slow controlled exercise, usually on an exercise mat, or sometimes on specific apparatus, either in classes or one to one. It's a system of exercises that take the body and mind and body through sequence of proscribed movements. These controlled movements integrate the concept of Dynamic Tension (self-resistance) which is the act of exercising muscle against muscle Pilates is taught one on one or in a class.

Can Pilates help my Back Pain
Pilates theory is that imbalance in strength and flexibility of the body may cause back pain. Pilates attempts to build strength and flexibility to help restore mobility and avert further back injury. Pilates claims to improve posture, muscle tone, mobility, and flexibility in the spine, alleviate backache and pains, and reduce stress. It is considered therapy for back pain for some medical conditions affecting the back but those suffering from Osteogenesis imperfecta, Osteoporosis, Paget's Disease, Osteomalacia should seek medical consultation. Whilst there have been recent concerns expressed over the effectiveness and safety of Pilates especially relating to strengthening the core muscles, it's accepted that it can be useful for some people in some instances for back pain relief.

Rolfing
'Rolfing Structural Integration' is the trademarked name for the system of hands-on connective tissue manipulation and movement education aimed at releasing stress patterns, and helping the client move and function with greater freedom, and effortlessly maintain a more upright posture. Rolfing seeks to realign and balance the body so that the head, shoulders, chest, pelvis, and legs work in improved vertical configuration

How does Rolfing work
The concept of Rolfing is that injuries, poor movement function and muscle taughtness through stress cause the myofascia (connective tissue) to stiffen, inhibiting free and relaxed movement. By applying deep pressure and other massage techniques to ease tightened myofascia, therby allowing greater flexibility and balance between muscles, tendons and bones. Practitioners of Rolfing teach awareness of those habits restricting movement and how to transform these patterns

Can Rolfing help my Back Pain
By reducing tension, softening the myofacsia, and restoring natural balance and body use, Rolfing practitioners believe the release from the above techniques can relieve back pain caused by muscle tension and help the back to realign itself, promoting improved back health and giving backache relief. Rolfing practitioners address lower back pain, including disk herniation usually by focussing on relaxing, releasing, and manipulating the muscle tissue, and forming space between the intervertebral disks.

Shiatsu
The name Shiatsu is derived from Japanese from shi, meaning finger, and atsu, meaning pressure) is a traditional hands-on therapy originating in Japan. There are two main Shiatsu schools; one based on western anatomical and physiological theory where it soothes an overactive sympathetic nervous system, improving circulation, relieving muscle tension and reducing stress, and the other based on a holistic system of Traditional Chinese Medicine (TCM). Shiatsu is regulated as a licensed medical therapy by the Ministry of Health, Labour and Welfare (Japan), and elsewhere by various governing bodies set up by Shiatsu practitioners. Shiatsu is an evolving form, and its various styles incorporate (to differing degrees) aspects of Japanese massage traditions, Chinese Medicine practice, and "Western" anatomy and physiology.

How does Shiatsu work
Shiatsu is an uses pressure applied with thumbs, fingers and palms to the same energy flows or meridians as acupuncture and incorporates stretching. It also uses techniques such as rolling, brushing, vibrating, grasping and in one particular technique developed by Suzuki Yamamoto, pressure is applied with the feet on the persons back, legs and feet (special set up is required for the "foot" shiatsu). The principle theory is similar to that of acupuncture whereby illness is brought about as a result of blockages or imbalance in the meridians or energy lines. The Shiatsu practitioner seeks to clear or remove these blockages by applying finger, thumb, palm, or even foot pressure to the affected areas using a variety of massage techniques

Can Shiatsu help my Back Pain
Lower Back pain results for a number of reasons: Poor ergonomic posture, Physical injury, occupational (such as lifting), recreational (eg golf or gardening) related to poor muscle tone, or in Traditional Oriental Medicine (TOM), blockages or imbalances in energy flows through the patients meridians.. It is likely that back pain relief for back pain for back ache or sciatic conditions can be provided by a shiatsu practitioner. Shiatsu is complementary to mainstream Western medicine, not an alternative to it. Though therapy back pain will be administered according to Oriental practice it is important that a modern Western diagnosis is obtained as well, and the practitioner will attempt to establish the origin of the condition. \through the techniques outlined above the practitioner will strive to create an environment of 'self healing' whereby the patients body will revert or return over time to a more healthy condition. By understanding how the condition arose the practitioner will advise on changes in posture, exercise, or physical habits which may help prevent reoccurrence of the back pain,

Yoga
Yoga dates back to over 5,000 years, and originated in India as a form of a spiritual practice. In the West, Yoga as an alternative medicine has evolved from its founding philosophy into a form known as Yoga Therapy, often considered useful as a therapy for back pain. In the UK this has taken the form of a National Occupational Standard, (NOS) for the delivery of Yoga Therapy to clients with impaired health, such as back problems or compromised well being. Yoga is usually taught in classes or groups, sometimes as a lower back pain therapy
Yoga is believed to calm the nervous system, create harmony, and balance the body, mind, and spirit. It is thought by its practitioners to prevent specific diseases and maladies by keeping the energy meridians open and life energy (Prana) flowing. Over time many different branches of yoga have involved from the original meditative states to the emphasis on physical pose or position, breathing, bodily alignment, or flow of movement.

How does Yoga work
Yoga engages movement, stretching, posture and breathing to achieve overall wellbeing of body and mind. The different types of yoga often focus on specific facets such as Fitness, flexibility, meditation, rehabilitation, relaxation, and strength.Yoga engages movement, stretching, posture and breathing to achieve overall wellbeing.

Restorative yoga is often associated with healing disease, and is practiced in a very relaxed state by using supports instead of muscular tension to maintain the pose alignments. These poses help relieve the effects of chronic stress in several ways. First, the use of props provide a completely supportive environment for total relaxation. Second, each restorative sequence is designed to move the spine in all directions. Third, a well-sequenced restorative practice also includes an inverted pose, which reverses the effects of gravity. Because we stand or sit most of the day, blood and lymph fluid accumulate in the lower extremities. By changing the relationship of the legs to gravity, fluids are returned to the upper body and heart function is enhanced. Fourth, restorative yoga alternately stimulates and soothes the organs. With this movement of blood comes the enhanced exchange of oxygen and waste products across the cell membrane. Finally, yoga teaches that the body is permeated with energy. Prana, the masculine energy, residing above the diaphragm, moves upward, and controls respiration and heart rate. Apana, the feminine energy, resides below the diaphragm, moves downward, and controls the function of the abdominal organs. Restorative yoga balances these aspects of energy within the practitioner. Most yoga classes usually comprise a combination of physical exercises, breathing exercises, and meditation. These characteristics make yoga a particularly beneficial kind of exercise for certain health conditions, including back problems

Can Yoga help my Back Pain
Yoga can help back pain through the teaching balance, flexibility, strengthening muscles and promoting body awareness. By progressively structuring the complexity of movement, yoga teachers advocate that its practice can educate the back in distributing its mass more efficiently and improve back posture and balance naturally. For practitioners of yoga, an amalgamation of yoga positions reduces weakness, improves the alignment of the spine and reduces muscle tension, creating an environment of self healing for the back. Many yoga positions can be adapted to address particular back conditions as part of a therapy for back pain or to afford greater stretches.