Neck pain & how physiotherapy can help.

Neck Pain

Lifestyles are becoming more sedentary and people are often forced to commit to long commutes to work; electronic devices have fast become part of the modern world, thus neck pain is notably on the increase.  Neck pain is a musculoskeletal disorder which can manifest itself in a number of ways.  More often than not, neck pain is localised to the neck region itself, but it can be more widespread and travel into the shoulder and arms.

There might even be associated headache and/or a restriction in range of movement.  It is rare that neck pain has a more serious cause.

Some of the most common conditions that we treat are:¬-

A Twisted Or Locked Neck

Some people suddenly wake up one morning to find their neck twisted to one side and stuck in that position. This is known as acute torticollis and is caused by injury to the neck muscles.

The exact cause of acute torticollis is unknown, but it can be caused by poor posture, sleeping without adequate neck support, or carrying heavy unbalanced loads (for example, carrying a heavy bag with one arm).

Acute torticollis can take up to a week to get better, but it usually only lasts 24 to 48 hours.  Should it persist then physiotherapy may be needed to help aleviate the symptoms.

Wear and Tear In The Neck

Sometimes neck pain is caused by ‘wear and tear’ that occurs to the bones and joints in your neck. This is a type of arthritis called cervical spondylosis.

Cervical spondylosis occurs naturally with age. It does not always cause symptoms, although in some people the bone changes can cause neck stiffness.

Nearby nerves can also be affected as they are compressed, resulting in pain that radiates down the arms.  Pins and needles and numbness may also be present.

Most cases will improve with treatment in a few weeks.

Whiplash Associated Disorder (WAD)

Whiplash is a neck injury caused by a sudden, vigorous movement of the head forwards, backwards or sideways.

It often occurs after a sudden impact such as a road traffic accident. The tendons and ligaments of the neck become overstretched and damaged due to the forceful movement of the head.

As well as neck pain and stiffness, whiplash can cause tenderness in the neck muscles, reduced and painful neck movements, headaches and dizziness.

Pinched/Compressed Nerve

Neck pain caused by a compressed nerve is known as cervical radiculopathy. It is usually caused by one of the discs between the bones of the upper spine (vertebrae) bulging outwards on to a nearby nerve.

The condition is more common in older people because your spinal discs start to lose their water content as you get older, making them less flexible and more likely to become damaged.

The pain can sometimes be controlled with painkillers and by following simple advice from a physiotherapist, although surgery may be recommended for some people.

Tips To Help Prevent Neck Pain

  • Check your posture, ensuring that you are able to maintain an upright position
  • Gently strengthen your neck muscles, to help support your head
  • Take regular breaks from desk work, driving or any activity in which you have to hold your neck in one position
  • Avoid reading for lengthy periods in bed or using too many pillows
  • Ease tight muscles by shrugging and lowering your shoulders
  • If you are prone to stress, practise relaxation to help reduce tension in your neck and shoulders
  • Keep your neck active and mobile in order to prevent stiffness

For Physiotherapy Treatment of neck pain , Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home (Services available in Bangalore, Mumbai, Delhi)


Post Stroke Rehabilitation – Physiotherapy

After a stroke, our brains cannot grow new cells to replace the ones that have been damaged, but the brain has the ability to reorganise its undamaged cells and make up for what has been lost. This is called neuroplasticity. This process can be guided by the neuro rehabilitation you receive following your stroke, and your physiotherapist will provide expert guidance on how to relearn movement and regain function.

Neuro – Physiotherapists often work with other professionals to help you with the range of problems that stroke can cause. You may be helped by occupational therapists, speech and language therapists, doctors, nurses and social workers.

What a Neuro -Physiotherapist does

Depending on your needs, your physiotherapist will:

  • Help the stroke nurses set up your plan of care to keep you as well as possible and avoid any complications that might slow down your recovery
  • Advise on how you should be positioned when lying or sitting, and how often you need to be moved
  • Decide when you should begin to get up out of bed and start walking and what equipment (if any) is needed to move or support you
  • Motivate you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
  • Offer therapy to strengthen your limbs and teach you how to move again as independently as possible
  • Work together with the rehabilitation team, and your carer, family or friends to support your recovery in a coordinated way
  • Advise you, your family and any carers how you can do as much as possible for yourself and move around as much as possible.

When can physiotherapy begin?

From 24 hours after a stroke, you will be encouraged to get up and about as much as you are able to, whether this is continuing with your previous activities or just sitting in a chair.

In the early stages, and for people with relatively mild problems, physiotherapy will focus on preventing complications and restoring your ability to move and be active again.

As time goes on, physiotherapy focuses on helping you to become more independent and do what is important to you, for example using equipment or doing things a different way.

For Post Stroke Rehabilitation at Home , Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home


Avoiding knee or hip surgery by Physiotherapy

Some two million people around the world have surgery called knee arthoscopy every year to heal meniscal tears, damage to the crescent-shaped cartilage that cushions the knee joint.But, according to researchers in Norway, exercise might be just as good at healing these injuries as surgery

Losing weight, strengthening muscles, and increasing flexibility may help you stave off joint replacement.

Physical therapy

The main component of joint surgery avoidance is strengthening the muscles that support your joints. The quadriceps in the front of the thigh and the hamstrings in the back are key to knee strength. The stronger your quads are, the less load that gets transferred into the joint.

To build quad strength, you’ll start exercising while lying down: tightening your quads with your leg out in front of you, or lying on your stomach and raising your foot into the air to strengthen your hamstrings. You’ll progress to standing exercises such as leg lifts and curls, and graduate to exercising on weight machines.

The gluteal muscles in the buttocks and flexors in the pelvis are important for hip strength and flexibility. To beef them up, you’ll start with a number of different leg lifts, such as extensions and clamshells, before progressing to exercises on weight machines.

Stretching is important to keep the muscles flexible.

You’ll see a change in your muscles after four to six weeks of daily exercises. Then you can move to rigorous exercises two to three times a week, but you can never go back to a nonactive lifestyle. “Doing this doesn’t restore cartilage. If you stop, you’ll go back to the way you felt before,” says Nolan.

Weight loss

The force you place on your joints can be up to six times your weight, so shedding pounds can reduce that pressure. Even a 10-pound weight loss can make a huge difference. But don’t jump into a drastic diet plan. You’ll have to work with a dietitian to reduce calories but ensure you’re getting the baseline of what your body needs to build muscle and keep up your energy. A typical guideline is 130 grams (g) per day of carbohydrates for both men and women, and 56 g of protein per day for men, 46 g of protein per day for women.

Chondroitin and glucosamine supplements may help as well, although research has provided mixed results. Chondroitin sulfate helps to keep cartilage from deteriorating. Glucosamine stimulates cartilage formation and repair.

There’s no guarantee that a program of weight loss and muscle strengthening will help everyone avoid joint surgery, either. But experts say the approach is an important alternative and many surgeries have been avoided.

CB Physiotherapy at home offers high quality & Affordable home-care physiotherapy. You can book appointment

Reference : Harward health Publishing : Avoiding knee or hip surgery