Back Pain Leamington Spa, 22 3D Back Pain animated educational videos are available to view at this Back Pain Clinic for Back Pain related spinal conditions, diseases, pains and injuries, which can be found listed under ” Pain Management,” “Orthopaedics” and “Complementary Medicine” in our Videos Library section. Also in this library there are a further 100 3D animated videos covering other conditions / complaints under the same headings. To view the Videos Library, click in the top right hand corner. Also available are 3D animated educational videos for various Back Pain, injuries and conditions such as (1) Sciatica (2) Degenerative disc (3) Herniated disc (4) Facet Joints (5) Scoliosis (6) Kyphosis Posture (7) Back Neck and Pain Decompression (they can be found under the listing ”Types of Pain” in our “Back Pain” Section).
For the management of Back Pain, here at Central Chiropractic and Physiotherapy Clinic, we use the latest Low Level Lasers which accelerate the recovery and healing process, leading to a significant reduction in pain inflammation. A 5 star rating has been awarded to Low Level Laser Therapy, our laser section can be found listed under ”Pain Relief”, please also view our ”Low level Laser Testimonial Video”.
Back Pain
Coccygodynia.
Lower Back Pain, Low level Laser Therapy Research for Pain Relief and Healing
Conclusions: The results of this study show significant improvement in acute Lower back pain treated with Low Level Laser Therapy, (LLLT) used as additional therapy
Coccygodynia
Pathophysiology
The coccyx is the terminal end of the spine, just inferior to the sacrum. The human coccyx is composed of 3-5 individual segments (coccygeal vertebrae), with variations occurring with regard to the number of segments, the overall angulation (the curve) of the coccyx, and the degree of articulation versus fusion between the individual segments. In 85% of patients, the coccyx is made up of 4 coccygeal vertebrae. The human coccyx is often considered to be a remnant or corollary of a tail; thus, the coccyx is referred to as the tailbone.
Anatomy and function of the coccyx
In humans, the coccyx serves important functions, including as an attachment site for various muscles, tendons, and ligaments. Chiropractors and patients should remember the importance of these attachments when considering surgical removal of the coccyx.
Muscles inserting on the anterior coccyx include the levator ani, which is sometimes considered as several separate muscle parts, including the coccygeus, iliococcygeus, and pubococcygeus muscles. This important muscle group supports the pelvic floor (preventing inferior sagging of the intrapelvic contents) and plays a role in maintaining fecal continence. Muscles originating on the posterior coccyx include the gluteus maximus, which is the largest of the gluteal (buttock) muscles and which functions to extend the thigh during walking.
The coccyx serves as somewhat of a weight-bearing structure when a person is seated, thus completing the tripod of weight bearing composed of the coccyx and the bilateral ischium. The coccyx bears more weight when the seated person is leaning backward; therefore, many patients with coccydynia sit leaning forward (flexing at the lumbosacral and hip regions), which shifts more of the weight to the bilateral ischium rather than the coccyx . Alternatively, patients with coccyx pain may sit leaning toward one side so that the body weight is exerted mainly on one ischial tuberosity or the other, with less pressure on the coccyx.
The base of the coccyx articulates with the sacral apex via the sacrococcygeal junction. The sacrococcygeal articulation and intracoccygeal articulations contain fibrocartilaginous discs, comparable to the intervertebral discs present at other spinal levels. The apex (distal tip) of the coccyx is typically rounded but may be bifid.
Lower Back Pain, Low Level Laser Therapy (LLLT) Research.
Abstract
Objective: The aim of this study was to investigate the clinical effects of low-level laser therapy (LLLT) in patients with acute low back pain (LBP) with radiculopathy.
Background Data: Acute LBP with radiculopathy is associated with pain and disability and the important pathogenic role of inflammation. LLLT has shown significant anti-inflammatory effects in many studies.
Materials and Methods: A randomized, double-blind, placebo-controlled trial was performed on 546 patients. Group A (182 patients) was treated with nimesulide 200 mg/day and additionally with active LLLT; group B (182 patients) was treated only with nimesulide; and group C (182 patients) was treated with nimesulide and placebo LLLT. LLLT was applied behind the involved spine segment using a stationary skin-contact method. Patients were treated 5 times weekly, for a total of 15 treatments, with the following parameters: wavelength 904 nm; frequency 5000 Hz; 100-mW average diode power; power density of 20 mW/cm2 and dose of 3 J/cm2; treatment time 150 sec at whole doses of 12 J/cm2. The outcomes were pain intensity measured with a visual analog scale (VAS); lumbar movement, with a modified Schober test; pain disability, with Oswestry disability score; and quality of life, with a 12-item short-form health survey questionnaire (SF-12). Subjects were evaluated before and after treatment. Statistical analyses were done with SPSS 11.5.
Results: Statistically significant differences were found in all outcomes measured (p < 0.001), but were larger in group A than in B (p < 0.0005) and C (p < 0.0005). The results in group C were better than in group B (p < 0.0005).
Conclusions: The results of this study show significant improvement in acute LBP treated with LLLT used as additional therapy.
Ljubica M. Konstantinovic, Ph.D.,1 Zeljko M. Kanjuh, M.S.,1 Andjela N. Milovanovic, M.S.,2 Milisav R. Cutovic, Ph.D.,1 Aleksandar G. Djurovic, Ph.D.,3 Viktorija G. Savic, M.S.,4 Aleksandra S. Dragin, M.S.,1 and Nesa D. Milovanovic, M.S.1
1Clinic for Rehabilitation, Medical School, Belgrade, Serbia 2Center for Physical Medicine, Clinical Center of Serbia, Belgrade, Serbia.3Clinic for Rehabilitation, Military Medical Academy, Belgrade, Serbia.4Department for Physical Medicine, Institute for Rheumatology, Belgrade, Serbia.
Address correspondence to: Ljubica Konstantinovic, Ph.D. Clinic for Rehabilitation dr Miroslav ZotovicMedical School, University of Belgrade Sokobanjska 13, Belgrade
