Cervical and lumber spondilitis physiotherapy?

Cervical and lumbar spondylitis refer to inflammation or degeneration affecting the cervical spine (neck) and lumbar spine (lower back), respectively. Physiotherapy plays a critical role in managing these conditions by relieving pain, improving mobility, and preventing further complications.

Here are key physiotherapy strategies for cervical and lumbar spondylitis:

1. Initial Assessment and Education

• Assessment: A physiotherapist evaluates your pain level, range of motion, posture, muscle strength, and any nerve-related symptoms (e.g., tingling, numbness).
• Postural Education: Learn correct postural habits to reduce strain on the spine, such as maintaining a neutral spine during daily activities.

2. Pain Management Techniques

• Heat or Cold Therapy:
  • Heat therapy relaxes muscles and improves circulation.
  • Cold therapy reduces inflammation.
• Electrotherapy: Techniques like TENS (transcutaneous electrical nerve stimulation) or ultrasound therapy may alleviate pain.
• Manual Therapy: Gentle mobilizations by a physiotherapist to relieve stiffness and improve joint mobility.

3. Stretching Exercises

• For Cervical Spondylitis:

  • Neck Stretch: Tilt your head gently to one side, bringing your ear toward your shoulder. Hold for 15-30 seconds, then switch sides.
  • Chin Tucks: Gently pull your chin backward while keeping your head straight. Hold for 5 seconds. This helps improve neck alignment.
  • Upper Trapezius Stretch: Sit upright, place one hand behind your back, and use the opposite hand to tilt your head to the side.

• For Lumbar Spondylitis:

• Cat-Cow Stretch: On all fours, alternate between arching your back and rounding it. This improves spinal flexibility.
• Knee-to-Chest Stretch: Lie on your back, pull one knee toward your chest, and hold for 20 seconds. Repeat with the other leg.
• Hamstring Stretch: Sit with one leg straight and the other bent, and gently reach toward your toes.

4. Strengthening Exercises

• For Cervical Spondylitis:

  • Isometric Neck Strengthening: Press your hand against your forehead or the side of your head while resisting with your neck muscles. Hold for 5-10 seconds.
  • Scapular Retraction: Squeeze your shoulder blades together while sitting or standing. Hold for 5 seconds.

• For Lumbar Spondylitis:

• Core Strengthening: Exercises like planks, bird-dog (on all fours, extending opposite arm and leg), and pelvic tilts support the lower back.
• Glute Bridges: Lie on your back, bend your knees, and lift your hips toward the ceiling.

5. Postural and Ergonomic Training

• Adjust your workspace to maintain a neutral spine.
• Use lumbar support when sitting for long periods.
• Avoid prolonged bending or lifting heavy objects.

6. Lifestyle Modifications

• Incorporate regular low-impact aerobic activities like walking, swimming, or cycling to improve overall spinal health.
• Maintain a healthy weight to reduce stress on the spine.

7. Advanced Techniques (as Needed)

• Traction therapy helps relieve nerve compression in severe cases.
• Dry needling or acupuncture may reduce muscle tension and pain.
• Hydrotherapy: Exercise in warm water to ease stress on the spine.

Important Tips:

• Always perform exercises under the supervision of a trained physiotherapist initially to ensure proper technique.
• Avoid high-impact or strenuous activities during acute pain episodes.
• If symptoms worsen (e.g., severe pain, loss of sensation, or weakness), consult your healthcare provider promptly.

Dr. SAIFAN ALAM

https://www.instagram.com/physiotherapistofpatna/profilecard/?igsh=aDR0NWlmaHJvMDds

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