Unlocking Relief: The Power of Spinal Mobilisation in Chiropractic Care

Back pain affects nearly 11% of the global population, leading to significant costs in terms of treatment expenses and lost productivity. Among the various treatments available, spinal manipulation stands out as a common and effective method used by chiropractors to address spine-related issues. However, beyond the familiar “crack” associated with high-velocity low-amplitude thrusts, there’s a gentler technique known as spinal mobilisation. This low-velocity, rhythmical movement offers an alternative approach that can be equally effective without forceful adjustments. This article explores the power of spinal mobilisation in chiropractic care, highlighting its benefits and the importance of choosing the right practitioner for optimal spinal health.

Getting Started

Spinal manipulation is one of the most common treatments chiropractors use to treat spine injuries. Also known as spinal adjustment and manipulation, this manual therapy is used by a variety of practitioners including chiropractors, osteopaths and some physical therapists.

While spinal manipulation is most often associated with the chiropractic “crack,” or cavitation, it is important to note that this only occurs in conjunction with a high-velocity low-amplitude thrust. In contrast, spinal mobilisation is a low-velocity rhythmical gapping movement that doesn’t create a crack and can be stopped by the patient.

Ideal Spine uses a combination of spinal manipulation and mobilisation techniques to align the spine, alleviate tension in the muscles and joints and prevent further injury. To learn more about our approach to spinal care, contact us today!

Finding the Right Chiropractor

Choosing chiropractor Clayton South is a vitally important decision for any patient. There are many factors to consider, including qualifications, treatment approach, communication style, and practical considerations. Patients should always interview several practitioners before deciding on one.

During the interview, patients should be sure to ask each DC about their experience and education. It is also a good idea to discuss the methods that each chiropractor uses, including spinal manipulation and mobilisation. Spinal manipulation involves using quick and strong chiropractic adjustments to align the spine. This often produces cracking sounds similar to the sound produced when a person cracks their knuckles. Some patients are not comfortable with this type of adjustment and prefer a softer technique, which is known as spinal mobilisation. This technique involves the use of broad strokes to separate vertebrae and is not as forceful as spinal manipulation. It can be effective in treating many musculoskeletal problems. It is often combined with other chiropractic techniques such as the Activator and Sacro-Occipital Technique.

Preparing for Treatment

Depending on the severity of the problem, the chiropractor may use spinal mobilisation or manipulation. In spinal manipulation, the chiropractor applies a quick force on the spine or other joints, sometimes causing cracking sounds in the neck or back. This is a good sign that the body is responding to the technique.

A few studies have reported that spinal manipulation is effective in easing chronic low back pain that lasts four weeks or longer. It also appears to be beneficial in treating neck pain.

Mobilisation is a gentler form of treatment that doesn’t involve any twisting or forceful thrust. It increases the range of motion by stretching the fibers that surround the joint. This stretching causes the tissue to deform and create a crevice. These crevices can then release endogenous opioid chemicals that reduce pain. Some studies have shown that these effects are not dependent on the generation of joint cavitation. This is important because it means that a chiropractor can still get positive results without making loud, dramatic noises.

During Treatment

Spinal manipulation is a treatment method chiropractors use to help patients with musculoskeletal problems. This includes pain relief, decreased stiffness and improved mobility. It is a drug-free treatment option, which means it can provide effective relief without the side effects that often come with medication.

Chiropractors customise their treatments for each patient and spinal manipulation is no exception. Many patients will receive both forceful and less forceful spinal adjustment methods during the same appointment or throughout therapy, which usually takes between six to ten appointments.

The most common technique is spinal manipulation, which involves a sudden, controlled force applied to the spine by the chiropractor. This is often accompanied by an audible “crack” sound. Another popular manual therapy technique used by chiropractors, osteopaths and physiotherapists is spinal mobilisation. This is a slower, more gradual technique that helps to improve the movement of joints. It is often used for patients with more significant spinal misalignment and instability.

Embracing Spinal Mobilisation

The practice of spinal mobilisation offers a nuanced approach to chiropractic care, providing relief and promoting spinal health without the need for forceful adjustments. By understanding the differences between spinal manipulation and mobilisation, patients can make informed decisions about their treatment options and find the approach that best suits their needs. Whether it’s the quick thrust of spinal manipulation or the gentle rhythm of mobilisation, both techniques hold the potential to unlock relief and enhance overall well-being. Embracing spinal mobilisation alongside other chiropractic methods signifies a holistic approach to musculoskeletal health, empowering individuals to live life to the fullest with a properly aligned spine.

Preventing and Treating Plantar Fasciitis – Tips From Podiatrists

The good news is that nonsurgical treatment, including podiatry interventions, improves pain in about 90% of people. Health care professionals such as Midland podiatry might recommend night splints that hold your heel and Achilles tendon in a lengthened position while you sleep, or custom-fitted arch supports (or orthotics) that distribute your weight evenly across your feet.

1. Wear the Right Shoes

That stabbing pain you feel when you step out of bed or stand after sitting for a long time is often caused by the plantar fascia. This ligament stretches across the bottom of your foot and connects the heel to the bone on the bottom of your foot arch. Repeated stress on this ligament can cause tiny tears that trigger inflammation and pain.

If you’re prone to this painful heel problem, there are some things you can do to prevent future bouts of pain. Podiatrists recommend getting plenty of rest, doing foot stretches and massages and wearing shoes with good support and cushioning. They also say that alternating high impact activities with low-impact ones like swimming and walking is important to reduce stress on your feet and heels.

The right shoes can make all the difference when it comes to preventing or treating plantar fasciitis. You want a shoe with good arch support, a thick sole and plenty of cushioning, especially around the heel. Podiatrists like the Hoka Bondi 9, New Balance Fresh Foam X880 v13, Asics Gel Kayano 29, Kuru Draft Slipper and Oofos Ooahh Slide for their supportive cushioning and springy feel.

A good fit is also key. You should always try on shoes at the end of the day when your feet are largest and you should ensure there’s a thumb’s width of space between your longest toe and the shoe’s edge. You should also regularly replace your shoes, particularly if you’re a runner or walker, to maintain their support and cushioning.

2. Stretch Your Feet

In addition to getting enough rest, it’s important for people with plantar fasciitis to do regular foot and calf stretches to keep the tissue flexible. Stretching helps to reduce pain and improve walking for those who experience flare ups of the condition. Talk to a medical professional about a safe, effective stretching program that will work for you.

The best way to prevent and treat plantar fasciitis is by reducing stress on the tissue, especially during exercise. This means changing or stopping athletic activities that pound your feet on hard surfaces and doing proper warm up exercises with gentle stretching, like toe curls. Maintaining a healthy weight and using supportive footwear and slippers when spending time at home will help too.

It’s also a good idea to stop spending all day on your feet and avoid high heels as much as possible. And, don’t purchase over-the-counter heel cushions or arch supports as these devices are often ineffective at reducing foot strain.

If you experience heel pain that doesn’t go away after a few weeks, see a podiatrist based in High Wycombe for a diagnosis. The sooner you address the problem, the more quickly you can get back to your active lifestyle. Some people may benefit from other treatments for plantar fasciitis, such as steroid injections, radial shockwave treatment or platelet-rich plasma injections.

3. Stay Active

The last thing you want to do is let pain and discomfort from plantar fasciitis interfere with your summer plans. But you can stay active if you do a few simple things, like resting your feet, icing them, and stretching. Also, wear shoes that provide your feet with excellent arch support and replace them often. Avoid flip-flops and other footwear that offers minimal support, and don’t walk barefoot or stand all day on hard surfaces.

Low-impact exercise, such as swimming, cycling, yoga, or elliptical cardio, won’t cause plantar fasciitis or make it worse, and is a great way to keep up your fitness level. But don’t forget to stretch your feet and calves before and after exercise. Try curling and relaxing your toes, and making circles with your feet and ankles. You can even use a rolling pin or tennis ball while you’re seated to help loosen up your foot and heel muscles.

Another great stretch is the gastrocnemius stretch, which you can do anywhere. Sit down on the floor or in a chair with your legs crossed over each other. Hold your affected foot with the fingers of one hand, and bend your toes and ankle up as far as you can feel a stretch in the calf and arch of that leg. Repeat this for two or three minutes twice a day.

4. Take It Easy

Athletes who spend a lot of time on hard surfaces, such as runners and dancers, are at higher risk of developing plantar fasciitis. So are people who work on their feet, such as teachers, nurses and mail carriers. Having flat feet or high arches, and being overweight are also risk factors.

When you have plantar fasciitis, it can feel like you have a rubber band stretched across the bottom of your foot from your heel bone to your toes. The pain is usually sharpest when you take your first steps in the morning or after resting, and gets better as you continue to walk.

To help ease the pain, you can use an ice pack several times a day. You can also do a simple exercise to stretch your foot and calf muscles. Stand with one foot in front of the other and slowly bend your knee, keeping the back heel on the ground. This will stretch the plantar fascia and calf muscle, and should be done three to four times a day.

You should also stop any activities that aggravate your plantar fasciitis, such as running and dancing. Instead, do low-impact exercise like cycling or swimming, which puts less stress on your feet and legs. You can also try taking nonsteroidal anti-inflammatory medications, such as ibuprofen or naproxen, to reduce inflammation and pain.

How Urologists Help Manage Interstitial Cystitis

Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic condition that causes bladder pain and pressure. It is more common in women than men.

Your doctor will ask you about your symptoms. They may also take a urine sample. They will check it for blood in the pee or signs of infection.

Bladder Stretching

Bladder stretching is a minimally invasive procedure in which your doctor fills your bladder with sterile water while you’re under anesthesia to stretch the inner lining. They then use a tool called a cystoscope to inspect the bladder lining for cracks that bleed or areas of inflammation (called glomerulations). This is a common test in women with IC/BPS, but men also have it.

Urologist like Marlon Perera, may prescribe medications to help manage your IC symptoms. Many patients find relief from medications that decrease fluid retention and relax the muscles in the bladder and pelvic area. You can also reduce your symptoms with changes in diet. Eliminating irritants from your diet, such as carbonated beverages and foods with high levels of caffeine or vitamin C, may relieve painful urination in some people. Tight and stressed pelvic floor muscles can contribute to bladder pain, so Dr. Perera may recommend physical therapy to teach you how to stretch and exercise the pelvic floor.

Botox® injections

A urologist will inject tiny amounts of botulinum toxin, or Botox, into the muscles involved in your bladder spasms. This is similar to how it’s used to treat wrinkles. Before the injection, your urologist will apply a topical anesthetic (EMLA cream) or spray a coolant on your skin to numb the area. Your urologist also might use a device to numb the site by pushing on the muscles with vibration.

This procedure is usually done in a doctor’s office. You will be able to go home the same day. You may feel some pain or discomfort during the procedure, but it is usually mild.

The FDA approved one form of Botox to treat IC/BPS in adults in 2012. It is called onabotulinum toxin A (Botox), and it blocks the nerve signals that cause bladder spasms. You can find more information on this treatment at the Botox website.

Another type of Botox that a urologist might use is rimabotulinumtoxinB (Myobloc). It treats neck muscle spasm in people with cervical dystonia, which causes repetitive, uncontrollable movements of the head and neck. It is injected into the affected muscles and can reduce the symptoms of this condition in most people.

A urologist might recommend oral medications to help relieve pain, pressure and urinary frequency in people with IC. These might include pain relievers like ibuprofen and antihistamines. Or they might prescribe a drug called pentosan polysulfate sodium (Elmiron), which is believed to restore the inner surface of the bladder and protect it from substances that irritate the lining of the bladder.

Medication

The pain, pressure and urgency of interstitial cystitis (IC) can seriously disrupt your life. Symptoms can range from mild to severe and come and go over time. IC is not curable, but you can manage symptoms to improve your quality of life.

Your urologist will review your medical history and symptoms before beginning treatment. She will also perform a pelvic exam and a urinalysis to see if you have an infection. A urologist may use a flexible, lighted tube called a cystoscopy to check the inside of your bladder and the surrounding area.

Medications can help ease pain and pressure from IC. Your urologist can prescribe an anti-inflammatory like pentosan polysulfate sodium, or other medications to help relax muscles in the bladder. She may also prescribe a medication to block nerve signals that cause bladder spasms.

Bladder sensitivity tests can be helpful for some people with IC. During the test, your urologist instills water and potassium chloride solutions into your bladder. You then rate how much pain and urgency you experience after each solution. Having higher sensitivities to these solutions is a sign that you have IC.

In some cases, your urologist can use a surgical procedure to stretch your bladder by filling it with liquid or gas while you’re asleep under anesthesia. A surgical procedure called a bladder augmentation can also increase the size of your bladder by placing a patch of your intestine over it.

Surgery

The exact cause of IC is unknown, but experts believe it may involve abnormalities in the bladder lining. The condition also can develop because of heredity, allergies and infections. Women are more likely to suffer from it, and it tends to flare up during menstruation.

To diagnose IC, your physician will conduct tests and ask you to fill out questionnaires. They’ll look for a history of urinary tract infections and symptoms that include pelvic pain, bladder pressure and frequent urination. They’ll also perform a urinalysis, where they examine your pee for blood and bacteria.

Once a diagnosis is confirmed, your urologist will offer a number of treatment options. These treatments can range from making dietary changes to implementing pelvic floor exercises, to administering medication or Botox® injections to manage bladder spasms. Depending on your symptoms, your doctor may also recommend bladder retraining, where you hold your urine for longer periods of time (every hour at first, then every two hours, etc.) to reduce frequency and urgency.

Oral medications can also help relieve IC symptoms. The only FDA-approved oral drug for IC is pentosan polysulfate sodium, which binds to the bladder walls and helps replace and repair the lining. The drug can take up to six months to work, but research has shown moderate success in reducing symptoms.

 

Perera Urology
Suite 118/55 Flemington Rd,
North Melbourne VIC 3051
1300 884 673
www.pereraurology.com