Osteoarthritis or degenerative joint disease causes the cartilage or the slippery tissue covering the end of the bones to breakdown and wear away. This process is due to inflammation, which eventually leads to symptoms of pain, and limited mobility or stiffness.
Rheumatoid Arthritis is an autoimmune disorder affecting the synovium or lining of the joints. Rheumatoid Arthritis is also systemic and affects the organs of the body such as the heart, lungs, liver, spleen, and eyes.
There variations of arthritis including: gout, lupus, scleroderma and fibromyalgia all which may become very debilitating.
Treatment For Arthritis Includes:
- PT/OT/ Massage
- Specific Exercises
- Use of heat and cold
- Use of Adaptive Aides to Reduce Irritation
- Topical Analgesics
There are many causes and forms of back pain.
- Pain is felt in the upper or lower back
- Causes of pain include conditions affecting the bony spine from T1 to S5
- Discs between the vertebrae
- Ligaments around the spine and discs.
- Spinal inflammation; spinal cord and nerves.
- Internal organs of the pelvis, chest, and abdomen
Some factors which affect and contribute to Back Pain
- The type of work you perform which requires frequent heavy lifting, stooping, standing, sitting, twisting, turning
- Spinal stenosis or narrowing of the spinal canal, and openings of where the nerves protrude which subject the nerves to constant irritation or compression.
- Herniation or disc rupture
- Muscle spasms
- Age: osteoporosis, disc degeneration
- Accident or Injury to the back
- Tumors pressing on spinal nerves
- Little to no exercise and movement throughout your day
- Being overweight
What seems to help back pain?
- Movement: Exercise including slow stretching such as Yoga
- Manipulation: Chiropractic adjustments
If you experience any of the following problems from a back injury or accident schedule an appointment to see your doctor immediately or go to the emergency room:
- Loss of control of your bladder or bowels
- Numbness or tingling
- Pain with coughing or urinating
- Leg weakness
The neck comprises the vertebrae from C1 to C7
Or includes the vertebrae extending from your skull to the upper torso.
Disc’s located between the vertebrae, absorb shock
Bones, ligaments, and muscle support your head allowing motion.
Spinal Nerves exit from the cervical plexus from C1-C4 and the Peripheral Nerves from the Brachial Plexus or C5-T1 which provide both sensation and motion.
There are many conditions which may lead to neck pain
Injuries: including whiplash ( auto injury which suddenly thrusts the head forward/then backward beyond its normal range of motion possibly tearing muscles and ligaments).
Cervical Spondylitis: wear and tear of cartilage and bones of the neck resulting in vertebral narrowing.
Sprains and Strains which can be mild or severe.
Torticollis or Wry Neck can be the result of a muscle spasm and locks your neck in a laterally flexed or side bent position.
Tension or Migraine Headaches
What are the most effective Treatments for Neck Pain?
Is a chronic disorder characterized by widespread pain, diffuse tenderness, and a number of other symptoms including: sleep disturbances, bowel and bladder dysfunction, post traumatic stress disorder, depression, decreased mental clarity, joint stiffness, muscle weakness and more.
Fibromyalgia often causes significant pain and fatigue, and can interfere with a person’s ability to perform daily activities. Similar to arthritis, fibromyalgia is considered a rheumatic condition, a medical condition that impairs the joints and/or soft tissues, which causes chronic pain.
Treatment varies but may include:
- Getting proper sleep
- Alternative therapies such as massage, acupuncture, yoga
- Proper diet
Tendons are strong, fibrous, cordlike structures, which take their attachment and insert into bone. When a person performs an activity which exceeds the tensile strength of a tendon a micro-tear usually forms in the tissue; the tissue then becomes inflamed. Tendonitis results as a normal response and attempt to heal the injury.
Tendonitis is inflammation of the tendon and can and often occur in the shoulder, elbow, hand, and hip. Initial treatment includes rest, and icing of the affected area. Your physician may prescribe over the counter anti inflammatories and gentle exercises.
Tendonosis is a failed attempt of the tendon to heal itself and may require surgery. Specialized treatments for tendonosis include: deep tissue massage, use of active soft tissue mobilization, specific exercises to stretch and strengthen the muscles may help in reorganizing collagen formation and decrease pain along with promoting healing.
There are numerous ligaments, tendons, nerves, blood vessels, facia and muscle which make up soft tissue in the hand.
The hand itself has 27 bones.
There are many conditions that may affect function and use of the hand . These include but are not limited to:
- Tendonopathies: DeQuervains (thumb tendonitis) , Intersection syndrome, stenosing tenosynovitis (trigger finger).
- Neuropathies: Carpal Tunnel Syndrome, Gyon’s Canal. Pronatior Syndrome, Radial Tunnel Syndrome
- Arthritis: Mallet Finger, Swan Neck Deformity, Boutineeres Deformity
- Diseases: Ganglion Cysts, Duyputren’s Contracture, stroke, arthritis, or other.
- Lacerations/Trauma: Cutting tendons, nerves and blood vessels
- Avulsions: skin, stretching of soft tissue with associated trauma to tendons, nerves, blood vessels.
- Congenital Anomalies: absence of digits, presence of more digits, webbing.
To manage and treat the conditions above requires specialization in hand therapy. You may want to first see a physician who specializes in hand problems and then be referred on to a Occupational or Physical Therapist who sees and treats hand problems on a daily basis.