Tag Archive | alternative treatment back pain

Sciatica Pain Caused by Piriformis syndrome and Treatment (Carlsbad, Oceanside, Encinitas Pilates)

Piriformis syndrome, Sciatic Pain and treatment

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The piriformis muscle is a small muscle located deep in the buttock under the gluteus maximus. The muscle runs very close to sciatic nerve and some people the nerve even can run through the muscle. Piriformis muscle function is assisting to rotate the hip, turn the leg and foot outward (hip external rotation).

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Piriformis syndrome may caused by muscle spasm or excess tightness in the piriformis muscle, either because of irritation in the piriformis muscle itself, or irritation of a nearby structure such as sacroiliac joint ( SI joint) or hip. Most commonly, clients describe acute tenderness in the buttock and sciatica-like pain down the back of the thigh, calf and foot. Pain Increases after prolonged sitting, walking or running and it also may limit range of motion of the hip joint, especially hip internal rotation. Piriformius syndrome is very common in long-distant runners and those who’s sport requires repetitive external rotation of hip (ice hockey).

Many of my client who got a Piriformis syndrome, have also problem with their SI (sacroiliac) joint and visa versa. By saying that, SI-joint dysfunction may be sometimes root of pain, not piriformis muscles itself. Piriformis syndrome, SI-joint dysfunction and hip pain have very similar symptoms and they are hard to diagnose. Sciatica pain may also be caused by piriformis syndrome as well as SI joint dysfunction.

Almost every treatment approach for piriformis syndrome will include a focus on carefully and progressively stretching the piriformis muscle.
However, stretching only piriformis muscles may not be enough to treat piriformis syndrome. Piriformis syndrome may cause or caused by muscle imbalances in lumbo-pelvic-hip region. Stabilization of the pelvic may be affected by tight and short muscles hip flexors, hamstrings, piriformis and SI- joint dysfunction, resulting in overuse and spasm of the piriformis. So, muscle balance around your hip, pelvic and SI-joint are also important to treat. Faulty movement patterns are common for people who is suffering from piriformis syndrome. Piriformis spasms limit pelvic movement and in turn leads to gait deviations and compensations. If the muscle imbalances and faulty movement patterns left untreated, piriformis syndrome may return.

If you go to Physical therapy and did not get help, try Pilates with experienced Teacher. Pilates one-on-one training treats your whole body, not just a pain. So, you get help also your overall possible muscle imbalances and compensations – That is priceless.

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Spinal muscles are an essential part of back pain relief and prevetion

Importance of spinal muscles rehab to relieve and prevent back pain

pilates_back rehab_carlsbadDid you know that muscles have a critical role of supporting your spine, preventing and reducing back pain? Very often medical professionals underestimate the importance of the deep stabilizer muscles helping your recovery process from the back injury.

Studies show that after first episode of back pain, the deep back and abs stabilizer muscles become impaired and stop working properly. Those muscles are not recovering themselves, even when your back pain is gone. After that initial recovery your back and spine are still unstable and vulnerable to re-injury. So the fact is that very often poor spinal stability and support are directly linked with acute as well as chronic back pain.

The deep stabilizer muscles have a big role in taking off the total load from your back and let your spine and back heal better itself. So, in order to getting a long term solution to relieve back pain and prevent future injuries, a proper exercise program is essential.

Achieving and maintaining spinal stability

ImageThe human spine is unstable without its musculature and muscle control. The deep muscles, which are close to the lumbar spine, function is protecting spine from injury and their dysfunction shows as low back pain. Researchers have found out that people with lower back pain lose their ability to properly contract deep stabilizer muscles (probably) through pain inhibition. Deep back muscles – Multifidus and deep abdominal muscles Trasverse abdominus – are vital in controlling the lumbar spine. If those stabilizer muscles fail to function, stability may temporarily be provided by mobilizer (external obliques, rectus abdominal) muscles instead. The precision of movement is lost, leading to an observable movement dysfunction. So, finding the right muscles to train is a crucial part of an effective back rehabilitation. Unfortunately, many “traditional” back exercises only engage superficial muscles and actually may even increase uncontrolled mobility (instability) and decrease stability in the lumbar spine thus increasing risk of re-injury.

Spinal Stabilization training with Physical Therapist, or Pilates with very experienced Pilates instructor or Physical Therapist, will help you find and train your deep stabilizer muscles. These both methods focus on improving mechanical support of the spinal joints through specific deep muscle contraction exercises and clients learn to dissociate the use of deeper muscles from the use of the more superficial muscles.

Pilates for back rehabilitation and prevention
Pilates develops spinal (core, back) stability. The exercises focus on developing the strength and flexibility through appropriate use of the spinal muscles, which act as stabilizers and create vital support for the spine. Training with an experienced Pilates instructor improves your body awareness and teaches you how the proper muscle functions support and protect the spine. The Pilates method is designed to condition the whole body and will also help your overall muscle control, coordination and proper movement patterns.

Spinal stabilization training for back rehabilitation
Spinal stabilization training (used often by Physical Therapists) refers to back rehabilitation exercises specifically designed to isolate stabilizing and strengthening weak muscles of the spine as well as pelvic hip region. The SST is gradually progressive and specifically designed based on your specific needs and conditions. Spinal Stabilization training helps ensure movement in a controlled pain free range with proper muscle activation.

Pilates as well as Spinal Stabilization training focus also on improving overall muscle balances and posture which often heavily contribute back pain or are even the cause of the back pain in the first place. Both training methods are safe and effective way to rehabilitate back pain as well as prevent back injuries. Investing in your back and spinal health is important and with pilates or spinal stabilization training you will get a long-term solution to get rid of your back pain, or least learn to manage it. You will get sooner back to your active lifestyle and sport what you love!

Our SpinePilates program, in Carlsbad California, is specifically designed for people with back pain caused by herniated disc, sciatica, bulging disc, SI-joint dysfunction, scoliosis, osteoporosis, osteoarthritis,spondylolisthesis, spondylolysis, spinal stenosis, degenerative disc disease etc. The program is combination of Pilates exercises and Spinal Stabilization training and taught by Physical Therapist & certified Pilates Instructor.

Pilates – The best way rehab orthopedic injuries ( Carlsbad, Encinitas, Oceanside)

Pilates – The best way to injury recovery and prevention

Knee-injury If you are injured and have pain, did you know that there is more to recovery than just getting rid of pain? If your rehab only focuses on pain it will always miss the root cause of the real problem. The fact is that pain and injury oftentimes change the way how you use and move your body. The neurological connection between brain and muscles is not working properly and body starts to compensate. The compensation patterns create altered alignment in the joint, leading instability (too much uncontrolled motion) and abnormal wear on the joint surfaces. It also puts excess stress and tension on ligaments, tendons and muscles. When the muscle imbalances and faulty compensatory movement patterns are left untreated, there is a chance that you will suffer from that same injury again or additional injuries somewhere else.

The key to orthopedic rehabilitation is not only to get rid of pain and injury, but also identify and treat muscle imbalances and faulty movement patterns. Unfortunately, that is not often the case in a regular Physical Therapy. Therapists are often too busy and do not have time to look at the whole picture of how you are compensating or how to treat your muscle imbalances. If you really want to get rid of your injury and complete your rehabilitation after Physical Therapy, take private Pilates classes with an experienced hands-on-skilled Pilates instructor, or even better, with Physical Therapist who is trained in Pilates.

exercise-therapyPilates rehabilitation also works as an alternative for Physical Therapy, or together with Physical Therapy. I strongly feel that Pilates really is a missing part these days in orthopedic (musculoskeletal) rehabilitation. In Pilates, clients become more responsible for their own rehabilitation process. It is not just going to a therapist, lying down and receiving passive treatment by a Physical Therapist. Pilates is an active form of rehabilitation which can addresses a specific injury site while rehabilitating entire body. It can vary from specific isolated movements to more dynamic ones as necessary for that stage of rehab. A successful recovery includes regaining deep stabilizer muscles strength, joints’ controlled mobility and achieving muscles flexibility back to the normal level – that’s what Pilates exercises are all about. Pilates focuses also on the total body integration, working the whole body on proper alignments and posture, improving your joint stability and mobility – all those aspects that you need to recover safely and effectively.

However, it’s important to notice that there is big difference between teaching Pilates as a form of fitness and using it as a form of rehabilitation. If you are injured and consider Pilates, it’s important to make sure that your instructor has experience to work with injuries. An experienced Pilates Instructor or Physical Therapist trained in Pilates can provide an individualized rehabilitation program based on your special needs and conditions by identifying and correcting your muscle imbalances and faulty movement patterns. By investing in your sessions, you will get an injury-fee, well-balanced and well-functioning body. Not that bad investment at all, or what do you think?

More about PilatesWise pilates training for orthopedic and neurological rehabilitation, please click HERE