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I suffered with severe pain on and off for 20 years. I had surgery, various chiropractic adjustments and several pain meds and nothing had given me relief in my low back. After coming to CPTI, I was virtually pain free after four visits and I highly recommend them to anyone!
Degenerative Disk Disease/Degenerative Joint Disease/Stenosis-The above diagnoses are very common within the general population and can be the cause of low back pain as early as the fourth decade of life. A certain level of degeneration is caused by the normal aging process. However, it can be pathological if it occurs too early in life or at a severely progressive rate. The loss of disk height and arthritic changes around the vertebral joints can lead to pain, loss of motion, and nerve impingement. These diagnoses can be treated effectively with physical therapy through core stabilization, postural training, positioning techniques, and manual therapy. Sometimes, surgery is required to stabilize the area and alleviate nerve impingement by a boney structure.
Thoracic Outlet Syndrome - This is a complicated diagnosis which requires a thorough evaluation to determine what areas are contributing to the symptoms. Symptoms can include weakness, numbness, or pain anywhere in the arm. Following the evaluation, treatment would include normalizing dysfunction in the neck, upper to mid-back, upper rib cage, and all muscular and ligament attachments in the area. The nerves exiting the area are involved so nerve gliding would be included. Posture correction, traction, manual therapy and complete home exercise program would be part of our program.
Scoliosis – Because this diagnosis involves a rotation and curvature of the spine, this usually will affect the entire spine due to the compensatory nature of our spines. This can directly or indirectly contribute to pain and dysfunction in the neck, mid-back, and lower back. After a complete evaluation, a specific program which addresses your specific problems will be developed, including improving motion, posture, strength / stability, and decreasing pain.
Rib Dysfunction – Because the ribs attach to the upper and mid-back vertebrae, they can be directly involved in the dysfunction of this area. They are attached at joints, and connected with muscles and ligaments, strains or sprains of the ribs can be a significant source of pain. Following a complete evaluation, direct treatment of the affected ribs and adjoining vertebrae of the upper to mid-back would be performed.
Sciatica/Piriformis Syndrome- Sciatica is an irritation to the sciatic nerve which is composed of nerve roots from the lumbar spine that combine to form the largest nerve in the body. Signs and symptoms of sciatica may include pain, tingling, numbness, and or weakness into the buttocks, posterior thigh, calf and foot. Piriformis Syndrome can also cause similar symptoms, but the pain generator is the piriformis muscle which is a deep buttock muscle. The sciatic nerve can run under or through the piriformis, and if the piriformis is tight or in spasm it can irritate the sciatic nerve. At CPTI we focus on determining the possible cause of the irritation whether it’s at the level of the spine or the pelvis. Education in safe and proper stretching exercises, core stabilization, joint mobilization, muscle energy techniques, and soft tissue work may all be needed to regain function.
Lumbar Disk Protrusion/Disk Herniation- At CPTI, we treat many patients each year with compromised disks. It is a common problem which can require surgery. However, a high percentage of patients do very well with physical therapy and most can avoid surgical procedures. Disk problems can result from trauma, falls, motor vehicle accidents, poor lifting mechanics, prolonged poor postural habits and a variety of other reasons. The main focus is to centralize any nerve pain and symptoms that may be in the extremities. Prolonged nerve compression can cause permanent damage. Gentle techniques to reduce nerve tension and affect disk pressure can be very useful in regaining range of motion and decreasing pain. Lumbar traction, core stabilization exercises and education in posture, lifting mechanics, and ergonomics are all useful to prevent future problems. Maintaining a healthy weight and getting regular low-impact cardio exercise is paramount to managing disk problems.
Lumbar Fusion/Lumbar Discectomy- When all conservative treatments have failed, some patients will need surgery to help their problem. Your neurologist or orthopedist will determine the most appropriate surgery to help you regain your function. Postoperatively, many surgeons will send their patients to physical therapy in order to regain range of motion, improve core strength, and alleviate pain and muscle tension. Most patients do extremely well and can return to their normal activities per the surgeon’s protocol.
Bulged disc - herniated disc, pinched nerves- Because the nerves that supply the arms and hands begin from the spinal cord and exit through neck structures, a thorough evaluation needs to be done and subsequent treatment needed. This would include stability exercises, postural corrections, nerve glides, gentle manual therapy to decrease dysfunction in the area. Sleep positioning and work place ergonomics would also be addressed.
Tendonitis - causes inflamed and sore tendons which usually occur when a muscle is overworked without time to rest. Symptoms include pain, swelling, tightness and weakness. Some common areas of tendonitis are in the hand and elbow.
"My lower back was really hurting; I thought it would be impossible to stop the back pain without surgery. But, CPTI really took the time to listen and figure out the individual problems so I could be pain free in less than 2 months. I really appreciate the time they took to really understand me and help me."
Spinal Stenosis - Our treatment for stenosis includes gentle manual therapy, possible traction, nerve gliding, postural corrections, ergonomic instruction, and a complete home exercise program specific for your problems.