NECK PAIN

NECK PAIN

The neck (cervical spine) is composed of vertebrae which begin in the upper torso and end at the base of the skull. The long vertebrae along with ligaments provide stability to the spine. The muscles allow for support and motion.

Neck pain or cervical spine pain is a common ailment occurring in all age groups affecting 50 – 70% of people. Prevalence of neck pain was diagnosed to be common in women 48% than in men 38%.

The neck can be vulnerable to injury and disorders that produce pain and restrict the motion. Since, it is less protected than the rest of the spine.

The most common cause of neck pain is soft tissue abnormalities due to injury or prolonged wear and tear. The factors which cause repetitive strain on soft tissues are prolonged sitting postures in computer professionals with out adequate support, forward head posture, faulty postures during sleep, and overhead tasks in electricians, painters and machine operators.

Proprioception is defined as the perception of positions and movements of the body segments in relation to each other. When there is damage to the mechanoreceptors in the joint, the persistent presence of pain inhibits the surrounding musculature to contract, which impairs the threshold of Proprioception leading to the recurrence of the symptoms.

Cervical spine pain is treated depends on what diagnosis it reveals and most patients are treated successfully. A better understanding of the variety of spine pain population is to cost-effective assessment and management necessary for primary spine care specialist.

To make the rehabilitation holistic, it is necessary to retrain Proprioception of the joint which helps in the reduction of neck symptoms and improvement in general health for self-experienced working ability.

A CORRELAITON STUDY TO ANALYSE THE RELATIONSHIP BETWEN REAR FOOT VALGUS AND ANTERIOR KNEE PAIN.

A CORRELAITON STUDY TO ANALYSE THE RELATIONSHIP BETWEN REAR FOOT VALGUS AND ANTERIOR KNEE PAIN.
AUTHOR : B.ARUN.MPT,CMPT*.
*Physiotherapist, K.G. Hospital, 18, Arts College Road, Coimbatore-18.

INTRODUCTION:
Abnormal position of the Rear foot tends to cause abnormal movement in the associated joints like Knee, Hip, Pelvic & SI joint. Excessive Rear foot Pronation leads to Tibial Internal rotation which translates abnormal stress in Knee cause pain in anterior area of knee.
Purpose of the Study:
Purpose of the study is to determine the relationship between the Rear foot abnormality (Valgus) and anterior knee pain.
Methodology:
A total of 50 subjects were selected by convenient sampling method with the age group range form 18—27 yrs. Subjects were chosen following an inclusive criteria and an informed consent was obtained. Study was conducted for duration of 6 months. And the parameters are Anterior knee pain and the Rear foot abnormality was assessed to the subjects. Anterior knee pain was assessed by using VAS pain scale, where as the Rear foot abnormality was measured using Goniometer, before measurement of rear foot abnormality Subtalar neutral was found.
Result:
The results were calculated using Kearl pearlson’s correlation coefficient.
It analyses the relationship between the Anterior knee pain and Rear foot Valgus. The result found that it has a strong negative correlation of 0.90. This shows that the anterior knee pain occurs following abnormal rear foot positions.

Conclusion:
The study concluded that abnormality in the Rear foot will cause a significant changes in Knee tends to cause knee pain.

SUBCALCANEAL HEEL PAIN

SUBCALCANEAL HEEL PAIN

Pain in the plantar pad of heel in a common condition and has been reported in patients aged from 18 to 80.

It is a summation of series of micro trauma to the plantar fascia caused by a strain of the attachment of plantar fascia to the calcaneum.

AETIOLOGY:

Excessive Pronation of subtalar joint

Repeated stress over the fascia.

Pes cavus highly arched foot.

Occupational stress like prolonged standing and walking.

High heel shoes.

Obesity

Length and stride during running

Wearing shoes without sufficient

CLINICAL FEATURE:

• Sharp or acute pain over the heel.
• Pain is most severe when the athlete first puts weight on the foot.
• Pain occurs in the heel when no person getting out of the bed in the morning.
• Pain diminishes during activity.
• Pain increase when the activity stops.
• Tenderness over the calcaneal end of the Aponeurosis seen over the anterior medial tuberosity of the calcaneum.

INVESTIGATION

X-Ray

May reveal the presence of calcaneal spur.

MANAGEMENT:

Medical Management

Cortisone injection

Aspirin pills

Soluble steroid injection

Physiotherapy Management

Acute phase

Pulsed ultrasound

Electrical stimulation

Faradic foot bath.

Rehabilitation phase

• Continuous ultrasound
• Ionoto / phonopheresis
• Cryotherapy

Stretching

• T.A. Stretching
• Foot mobilization
• plantar fascia stretch
• intrinsic foot muscle strengthening

Foot Support

• Custom foot Orthosis

Home program

• Avoid prolonged standing
• Advice about suitable standing foot wear.
• Exercise for intrinsic foot muscle should be taught to the patient.
• Contrast bath
• Rest splits should be administered if necessary.

Exercise

• Pricking a golf ball and up your toes.

Lay a towel on the floor and scrunch it up with your toes