Are You Living With Chronic Low Back Pain? Find Relief Today

Did You Know Physical Therapy is an Effective Treatment for Low Back Pain?

Got low back pain? Then get a physical therapy referral!

Physical therapy is a leading profession involved in the diagnosis and treatment of low back pain.

In fact, low back pain is one of the most common reasons people come to work with a physical therapist.

Researchers in our field have even developed concise and comprehensive practice guidelines to help therapists manage this condition in their patients.

Keep reading to learn how physical therapy treatments with Washington Physical Therapy & Rehab can help you find meaningful relief from your lower back pain!

Do you have back pain?

Did you know that approximately 80 percent of Americans have experienced (or will experience) back pain? That's an unfortunate statistic, especially if you're already one of those sufferers.

Chronic back pain can prevent you from performing the countless daily tasks you need or want to perform.

Even when you're not engaged in activity, your back pain may be keeping you miserable 24/7. But don't assume that drugs can provide more than temporary relief, or that surgery won't create more problems than it solves.

Instead, go with the healthy, natural way to kiss your back pain goodbye -- through physical therapy.

Some facts about back pain

“Back pain” is an all-encompassing term used to describe a vast number of conditions that cause pain in the upper or lower back. Sports-related injuries, poor posture, and car accidents are just a few of the many ways that someone can develop back pain.

The most common cause of back pain is from sustaining an injury. This can happen in one of two ways - from an instant, sudden trauma, or from a repetitive-use injury that develops gradually over time.

Because back pain is so commonplace in the United States, there is a lot of information we have on the topic. Below are some facts about back pain:

  • Back pain is the number one disability for those under age 45.
  • In the United States alone, there are an expected 31 million people with lower back pain at any given time.
  • Back pain runs second, only after the common cold, as the top reason for visiting a healthcare provider in the United States.
  • Experts place the likelihood of any person to experience some type of back problem in their lifetime at about 80%. That’s four out of every five people!
  • 30-40 percent of all workplace absences are due to back pain.
  • Approximately one quarter of U.S. adults reported having low back pain lasting at least one whole day in the past three months, and 7.6% reported at least one episode of severe acute low back pain within a one-year period.
  • More than two-thirds of back strains are caused by lifting and other exertions, such as pulling and pushing.
  • Most cases of back pain are mechanical—meaning they are NOT caused by serious conditions, such as infection, fracture, or cancer.

1. All physical therapy treatments are safe for all ages.

The risk for low back pain tends to increase with age, but people of all ages can struggle with this broad condition.

Fortunately, physical therapy services that are proven effective for low back pain—including corrective exercises and spinal manipulation—are safe and appropriate for folks from all walks of life.

If a specific service is contraindicated for you, your physical therapist can deliver plenty of other treatments to support your healing.

2. Physical therapy treatment plans are safe, non-invasive, and personalized for your needs.

Based on the current clinical practice guidelines created by the American Physical Therapy Association's Orthopaedic Section, a person presenting with low back pain can be classified into one of several distinct treatment categories, based on a thorough examination.

This type of systematic categorization is cost-effective and beneficial, since it helps patients receive services specifically designed for their needs.

Thanks to their extensive training, a physical therapist can skillfully tease out hidden issues contributing to your back pain condition, such as nerve impingement, movement incoordination, poor core muscle activation, and range of motion limitations.

These are issues that are often overlooked or under-addressed by other professionals—and explains why interventions that just provide symptom relief are often not effective in the long-term.

In other words, if underlying issues like instability or incoordination aren't addressed, your issue is likely to recur!

By addressing the underlying causes of your back pain and then systematically managing these issues with personalized treatment based on research, a physical therapist can alleviate your symptoms and reduce your likelihood of chronic suffering.

3. Physical therapy can help decrease your risk of sustaining a back-related injury or condition.

Low back pain is so common that most people will have it at least once in a lifetime.

It's not always clear what triggers back pain in the first place, and most experts agree that there are usually multiple issues at play, including activity level, occupation, age, family and medical history, and the presence of other health conditions like smoking, obesity, and diabetes.

A physical therapist can work with you to help you identify and modify your preventable risk factors. For example, sitting too much is correlated with lower back pain.

By helping you control your pain and improve your physical function and ergonomic environments, a physical therapist makes it easier for you to increase your physical activity level and minimize the amount of time you spend sitting.

Consult with a physical therapist today

Physical therapists are experts at identifying how low back pain limits a person's participation in daily activities, and how these limitations can be resolved or compensated for.

After all, your progress outside the clinic matters even more than your progress inside the clinic! Our physical therapy team at Washington PT & Rehab always looks for the bigger picture of your condition and will help you modify your daily tasks in a way that will make you feel successful, safe, and confident.

So You Have Back Pain – Chances Are, It Could Be From a Herniated Disc

Did You Know Your Back Pain Could Be Stemming From a Herniated Disc?

How do you know whether you have a herniated disc or it’s just good old back pain? One telltale sign can be where the pain is located.

Strange neck pains, back pains, or extremity symptoms can indicate a variety of potential problems - including one or more herniated discs.

How can you tell for sure whether you have this specific problem? If you do have a herniated disc, what can you do about it?

With a herniated disc, the pain is typically located in the lumbar spine. That’s the lower part of your backbone. The pain may radiate from the back to the thighs, buttocks, or calves.

A herniated disc can cause pain whether you're resting or active. Even a cough or sneeze can cause pain as it puts pressure on pinched nerves.

The benefits of physical therapy for herniated discs

A physical therapist will have you engage in specific exercises to ease the pain and strengthen the muscles associated with a herniated disc. Physical therapy programs also include ultrasound therapy, deep tissue massage, ice and heat treatment, stretching exercises, electrical muscle stimulation and aerobic exercises.

Deep tissue massage uses pressure to relieve spasms and muscle tension due to a herniated disc. Heat therapy helps increase nutrients and oxygen to the affected area for healing. Cold therapy helps reduce inflammation and relieve pain.

Active treatments like exercise for a herniated disc focus on core stability, flexibility and muscle strengthening. Keep in mind that core muscles help support the spine. Learning proper stretching and flexibility techniques will help your body move easier. Muscle strengthening creates a solid support system for the spine and helps relieve pain.

A physical therapist will also teach your self-care principles and home exercises. This way, you can prevent further injury and enjoy the long-term effects of physical therapy. With physical therapy, you’re an active participant in your recovery.

“Herniated discs can be very painful injuries that impact your day-to-day life. The good news is that you don’t necessarily have to get surgery to repair your herniated disc. In fact, studies have shown that 90% of patients were able to recover by pursuing non-surgical courses of treatment like physical therapy.” That percentage is a testament to how effective physical therapy is in the treatment of a herniated disc.

How do I know if I have a herniated disc?

A good way to determine if you have a herniated disc is to visit your physician. Likely, your doctor will do a physical exam and may even take an x-ray.

While an x-ray won’t show a herniated disc, it can help rule other causes of your pain like a fracture. If your doctor recommends having an MRI, this test can show detailed 3-D images of the spinal cord and pinpoint if there is a herniated disc. It also shows which nerves are affected.

The purpose of spinal discs is to act as a shock absorber when you engage in daily activities, like walking, sitting, lifting and running. Each disc has a soft inner ring and a tough outer ring. When the outer ring is injured, the inner ring may protrude out and cause pain.

Common causes of a herniated disc include weak muscles, age, being overweight or leading a sedentary lifestyle. And if you turn suddenly, you can also incur a herniated disc.

What can I expect from treatments?

Herniated discs can be successfully treated with physical therapy. At your initial appointment, one of our physical therapists will perform diagnostic tests to determine the root of your pain and verify that your pain is indeed being caused by a herniated disc.

Once the cause of your pain is clear, an individualized treatment plan will be created for you, based on your specific needs.

This typically includes a series of stretches and exercises aimed at relieving your pain, improving your function, and promoting the natural healing process of your body. Additional treatments may be added as your physical therapist deems fit. These include:

  • Manual therapy
  • Ice and heat therapies
  • Traction
  • Class IV laser therapy
  • Transcutaneous electrical nerve stimulation (TENS)
  • Education on posture and lifting mechanics

Your physical therapist will also advise you on any lifestyle changes that may be recommended in order to prevent herniated discs from developing again in the future.

Physical therapy is one of the safest, quickest, and most effective ways to treat herniated discs. It is a holistic and non-invasive approach that, in many cases, has been able to eliminate the need for harmful drugs or surgical intervention.

Learn how to get started

If you are suffering from a lower back pain and you think it may be due to a herniated disc, contact Washington Physical Therapy and Rehabilitations today.

We’ll help discover the origin of your pain and treat you accordingly. Schedule a consultation to get started and begin your journey toward living your highest quality of life, free of lower back pain!

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Need More Physical Activity? Here’s How to Get It

Did you know that 80 percent of the U.S. population falls short of the Physical Activity Guidelines recommended by the Department of Health and Human Services? Millions of Americans are risking serious health consequences simply because they do too much sitting and not enough moving around. You may not find that information shocking, especially if you're one of those 80 percent. What really might surprise you, however, is just how easily you can give your daily activity level a dramatic boost. Here are seven simple tips from our physical therapist for adding some much-needed additional exercise to your life.

1. Walk Instead of Drive

Many people automatically get into their cars even for a brief trip to the mailbox or corner store. What if you spent an extra few minutes each day walking instead of driving? It might not sound like much of a workout, but walking increases the circulation, exercises your legs and feet, sheds excess pounds, keeps your joints limber and helps to release stress.

2. Get a Bicycle

If that trip to the corner store takes too much time on foot, maybe it's time you remembered how to ride a bicycle. Cycling exercises different muscles than walking, making it a valuable complement to that discipline when you need to go a little farther and a little faster. It also provides you with a significant cardio workout.

3. Take Up a New Sport

Getting that extra activity doesn't have to be a chore; it could just as easily take the form of new fun. Have you thought of taking up tennis, golf, surfing, swimming, running, or a team sport such as soccer or softball? These sports all offer different physical benefits, and they all get you up and moving.

4. Join a Yoga Class

Physical activity isn't always a matter of running or jumping around at a frenetic pace. Yoga offers profound benefits to body and mind by releasing stress, stretching muscles, increasing your range of motion, and helping you master your breathing. A yoga class offers structured learning as well as a positive social environment.

5. Stand at Your Desk

Standing desks have become all the rage in workplaces, and for good reason. Standing at your desk instead of sitting can help prevent unwanted weight gain, regulate blood sugar levels after meals, ease back pain, elevate your mood and energy level, reduce your heart disease risk and add years to your life expectancy. You may even find that you get more work done!

6. Turn "Couch Potato Time" Into a Workout

There's nothing wrong with spending some quality time watching your favorite TV shows or movies -- but you don't necessarily have to spend all those hours sprawled on your couch, motionless. Consider getting a stationary bike or treadmill that you can use while you're catching up on your stories. You'll have just as much fun, but you'll be working out instead of sacking out.

7. Exercise With Your Dog

Have you ever marveled at the sheer energy and endurance displayed by your dog? Dogs love to walk, run, play catch and explore. Join in these activities, and you'll find that your dog gives you one heck of a workout.

One Final Tip: Get Physical Therapy

Are there activities on this list that you'd love to try -- if only your body would let you? Physical therapy could get you back in shape to get into better shape. Ask our physical therapist for a one-to-one consultation!

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So You’ve Been Having Back Pain… Could it be Caused by a Herniated Disc?

If you’ve been experiencing back pain, it just may be a herniated disc. A herniated disc can put extra pressure on the muscles and nerves around the spinal column. Symptoms may include, pain on one side of the body, pain that radiates to the arms or legs, aching, burning sensations in the affected area and pain with certain movements.

What is a Herniated Disc?

The spinal column is comprised of a series of bones. “The cervical spine has seven bones, the lumbar spine has five bones and the thoracic spine has 12.” Each disc has a gelatinous inner section and a tough outer ring. When the disc protrudes through the outer ring, it is known as a herniated disc. This can cause numbness, pain and discomfort.

There are a number of factors that can cause a herniated disc. Certain motions like turning or twisting can cause a herniated disc. Lifting heavy objects is another culprit. Being overweight can cause a herniated disc, too. This is because the discs have to support more weight. Older people are at risk for a herniated disc. As we age, the discs begin to lose some of their protective water content. This causes the disc to slip more easily out of place.

“Studies have indicated that genetic factors influence many, if not most of the diseases commonly encountered in clinical practice by physical therapists, such as herniated disc. Genetics has been shown to play a role in end-plate herniations at 40-49 years of age.”

The Benefits of Physical Therapy for a Herniated Disc

Physical therapy plays a critical role in recovering from a herniated disc. A physical therapist implements different techniques for pain relief and healing. Passive treatments like deep tissue massage, electric stimulation and hot and cold therapy are a few examples of passive treatments. Deep tissue massage uses pressure to relieve spasms and deep muscle tension due to a herniated disc. Hot therapy increases blood flow to the affected area and enhances healing. Cold therapy reduces inflammation. Electric nerve stimulation reduces muscle spasm by sending a tiny electric current to the nerve pathway.

Active treatments by a physical therapist address joint movement, stability, flexibility, strength and posture. A physical therapist will teach you core stabilizing exercises to strengthen the back muscles. You’ll also engage in body muscle exercises to strengthen and condition your body. In addition, a physical therapist will teach you flexibility techniques and proper stretching techniques.

If you have back pain, turn to physical therapy for help. A physical therapist will do a comprehensive exam and review your medical history to determine if you have a herniated disc. Once a proper diagnosis is made, a physical therapist will then create and implement a personalized treatment plan targeted to the affected area. The goal of physical therapy is to help you attain an active and pain-free life. It’s helped thousands of others and can help you, too. Get on the road to recovery from a herniated disc with Washington Physical Therapy and Rehabilitation.

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Stand Up to Your Back Pain with Physical Therapy Relief

Most Americans will suffer temporary back pain at some point in their lives. When back pain is not temporary, however, it becomes a major quality of life issue. The good news is that you don’t have to live with back pain permanently. Taking a proactive approach like working with a physical therapist can help you find back pain relief at long last. Contact Washington Physical Therapy and Rehabilitation for more information on how physical therapy can relieve your back pain.

Types of Back Pain

There are three main types of back pain:

  • Acute Back Pain: Acute back pain is the most common type. This is a temporary pain that goes away in less than three months.
  • Recurrent Back Pain: This occurs when acute back pain goes away for a while, but then comes back periodically.
  • Chronic Back Pain: If back pain lasts longer than three months without subsiding, it is classified as chronic.

Back pain is usually not serious and will resolve on its own. Recurring pain and chronic pain, however, can be a sign of a more serious health problem. There is a broad range of potential physical conditions that could be causing your back pain, which include osteoporosis, degenerative disk disease, a herniated disk, fractures or lumbar spinal stenosis.

Diagnosing Back Pain with a Physical Therapist

Your journey with a physical therapist will start with a discussion of your symptoms. Your therapist will also review your medical history for any past injuries or illnesses that could be contributing to your current pain. Your physical therapist will also conduct an exam to assess how you are able to move and function as a result of your back pain.

The diagnosis phase will also involve some tests to find symptoms of more serious conditions. If your physical therapist suspects that there is a serious health condition contributing to your back pain, you will likely be referred to a specialist for more testing. In most cases, this will not be necessary.

Physical Therapy for Back Pain

Once your back pain has been diagnosed, a personalized course of physical therapy will be outlined for you. Treatments for back pain will vary based on the diagnosis, your age, weight, physical ability and other factors. Your course of treatment may include any of the following:

  • Stretching and strength-building exercises
  • Manual therapy and spinal manipulation to improve joint mobility and relieve tissue pain
  • Education on how to take better care of your back, such as proper methods of lifting, bending, sitting and sleeping positions
  • Hot or cold treatments, or electrical stimulation, for pain relief
  • Posture work to provide better support for your back

Physical Therapy Strategies for Back Pain

Over the course of your work with a physical therapist, your progress will be monitored to ensure that you are recovering. The goal is to eliminate the back pain so that you can live a normal life. A big part of working with a physical therapist is that you will learn strategies for movement and carrying out daily tasks in ways that will prevent the pain from recurring.

For example, your therapist will show you proper posture techniques while you are at home, at work or enjoying leisure activities. You will also learn how to keep up a regular exercise regimen to keep your supportive muscles strong, which will prevent the back pain from coming back. If your weight is contributing to your back pain, you will learn nutritional advice in addition to exercise to control your weight and keep back pain at bay.

The key is to be proactive in standing up to your back pain. If the pain lasts longer than three months, it probably won’t go away on its own. Request an appointment with Washington Physical Therapy and Rehabilitation today!

Improve Your Overall Health with These 5 Stretching Benefits

Some people think that stretching is an unnecessary part of exercising. The truth is that stretching is a necessary component of exercise. According to physical therapists, stretching is an important part of one’s daily routine, whether you’re exercising or not.

The 5 Benefits of Stretching

  1. Stretching specific exercises prior to exercising helps the muscles to achieve maximum range of motion. It also helps strengthen the muscles. That is why during physical therapy stretching is a main focus.
  2. Stretching helps reduce muscle tension. It’s a therapeutic treatment by a physical therapist. You’ll feel the rewards of stretching during your daily routine, walking or lifting.
  3. Stretching enhances joint range of motion. It enables the body part to move easier. For more dynamic movement, stretching increases muscular coordination. Some physical therapy sessions focus on a muscle group instead of just one muscle for stretching.
  4. Another benefit of stretching is increased blood circulation. Muscles require sufficient oxygen and nutrients in order to perform well. Stretching ramps up blood flow and transports oxygen and nutrients.
  5. Lastly, a benefit of stretching is heightened energy levels. The increased circulation increases energy levels. Learning to stretch properly will lead you to a more active lifestyle. “According to results of a new systematic review, moderate-grade evidence seems to support strengthening and stretching exercises to help ease chronic neck pain.”

Types of Stretching Exercises in Physical Therapy

Stretching involves stretching connective tissue, a muscle or a tendon. The goal of stretching is to improve range of motion, flexibility and muscle elasticity. The five most common stretching exercises are:

  • Ballistic
  • Dynamic
  • Static
  • Proprioceptive Neuromuscular Facilitation (PNF)
  • Low Load

Ballistic stretch physical therapy is a rapid bouncing motion to stretch a muscle. Dynamic stretching by a physical therapist entails stretching with motion at different speeds and distances. These movements are performed in a controlled and slow manner. Examples include torso swings, arms swings and leg swings. Static stretch physical therapy involved stretching the muscle and holding it for a few seconds. PNF entails holding and controlling techniques to activate specific receptors in muscles. This technique improves muscle length and decreases muscle tension. The low load stretching technique is gradual application of tension to enhance connective tissue remodeling.

A physical therapist will determine the best stretching exercises for your affected area and implement them into your treatment plan. They will also give you home exercises. These stretching exercises may include groin stretches, quadriceps stretches, knee stretches, calf stretches and more. They will also show you how do easy stretches with a towel at home. Knee stretches are very common in all age groups. That’s because knee injuries are common due to overuse or athletic injuries. Activities like running and biking can result in tight quadriceps muscles. Keep in mind that tight muscles can predispose you to injury. If so, quadriceps stretches will be implemented into a treatment plan.

Whether you see us at Washington Physical Therapy and Rehabilitation or not, stretching should be a part of your daily routine. You’ll feel better, perform better and avoid injury.

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