Tag Archive | chronic back pain treatment

Kinesiophobia – The hidden reason why the back pain becomes chronic

Kinesiophobia – The hidden reason why the back pain becomes chronic

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Kinesiophobia is a disorder where a person believes that movement can cause more injury and pain. A constant cycle of pain, fear, disuse and depression can be a result of kinesiophobia and it definitely slows down a normal recovering process from injury. This can also lead to a long-term problems and chronic pain.

Persons with kinesiophobia tend to believe that the pain what they are experiencing may worsen if they do exercises and certain movements. They start to decrease their physical activity which unfortunately causes even more problems like joint stiffness, unnecessary muscle tension, supporting muscles weakness, etc. People with kinesiophobia are in a pain cycle (picture below), and getting out of this circle is very hard to do on their own.

´┐╝pain cycle

As a Physiotherapist and Pilates Instructor I have treated many chronic back pain clients who are terrified exercising but want to get better. Some of them have already had bad experiences on Physical Therapy and doctors care. Painkillers do definitely not help if the source of pain mostly comes from patient’s fear, compensations and guarding. In Physical Therapy the trend is to work on many clients at same time, so they probably don’t have any extra time to concentrate or realize your fear and compensations. It is not either a good idea to give home exercises to people who has a kinesiophopia because they find it hard to do them correctly. Fear of pain also effects negatively to neuro-muscle connection and muscle recruitment, so exercises may do more harm than good. However, the truth is that movement heals and it has a crucial role of chronic back pain treatment, but it really does matter what kind of exercises and instruction you get to actually help you.

exercise-therapyOne-on-one Pilates with skilled Physical Therapist or very experienced Pilates instructor can help those who have kinesiophobia and chronic back pain. Well designed, slow, graded and progressive Pilates program which aims on practicing control of movement, breathing and proper muscle work will definitely help reduce fear of movement and also gradually overcome kinesiophobia. In Pilates every movement has to be PAIN FREE! Pilates with a good teacher helps you get your confidence in your ability to move. Returning to normal movement is an important step in breaking the kinesiophobia pain cycle. Pilates exercises help you rebuild normal movement and function which in turn relieve pain and improve your overall quality of life. Staying active is a critical component of chronic pain and back pain treatment. Don’t let your fear ruin your full potential recovery and stop you to do the activities that you love.

More about PilatesWise program in Carlsbad California, please visit our website www.pilateswise.com, our SpinePilates program is now also available via SKYPE for people around US and world!!! MORE ABOUT SKYPE TRAINING, PLEASE CLICK HERE.

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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.