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WHAT IS DISCECTOMY? HOW SOON CAN YOU TRAVEL BY CAR AFTER DISCECTOMY? HOW SOON CAN YOU RETURN TO EXERCISE AND SPORT? HOW SOON CAN YOU TRAVEL BY PLANE AFTER DISCECTOMY?

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Discectomy is a surgery to remove lower back herniated disc that is pressing on a nerve root or the spinal cord. This surgery tends to be done as microdiscectomy, which uses a special microscope to view the disc and nerves. https://www.nhs.uk/conditions/lumbar-decompression-surgery/what-happens/

HOW SOON CAN YOU TRAVEL BY CAR AFTER DISCECTOMY?

When discharged from hospital, generally you go home in a car. It is best to maintain an upright position for your spine whilst getting into the car and throught the journey home. Avoid being in a car for more than 20-30 minutes in the first 6 weeks. Thereafter, you can travel by car as tolerated, but whenever possible, it is advisable to break up long journeys with frequent stops every 30 minutes so that you can get out of the car and walk around.

HOW SOON CAN YOU RETURN TO EXERCISES AND SPORT?

After surgery, you will be seen by…

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Muscle strain and ligament sprain, neck pain, Uncategorized

The right pillow to support your neck

The right pillow is essential in keeping the neck in a supported position with neutral alignment during sleep. Without the right pillow support, the neck will be stressed which will lead to daytime neck pain or stiffness.

The key is to find a pillow that is the right height and firm for the person’s size, sleeping position, and personal preferences. A pillow that is too high or firm does not allow the neck to relax fully during sleep. On the other hand, a pillow that is too flat also puts strain on the neck.

The best pillow for neck is firm enough to hold the head at a healthy angle, but soft enough to alleviate pressure points. Most sleepers find success with either memory foam, latex, buckwheat, or feather pillow, as these materials offer the best balance of support and pressure relief.

This pillow is available on the following link: https://www.amazon.co.uk/dp/B08N12M5QS?ref=myi_title_dp

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3 main causes of neck stiffness

1. Muscle strain

Any activity that places your neck in an awkward position for an extended amount of time could cause neck muscles to become fatigued and spasm. For example, holding your phone against your shoulder while you talk, sleeping with your neck at an awkward angle, carrying a heavy bag on one shoulder, or having to look too far downward or upward to view your computer screen can all cause neck stiffness.

2. Cervical spine disorders

The cervical spine encompasses all of the discs, bones, joints, muscles, and nerves in your neck. The spinal cord also runs through the centre of the vertebrae (bones) in your cervical spine.

3. Infection

A stiff neck caused by an infection is rare compared to the other causes above, but it is a serious medical condition. For example, meningitis can cause a stiff neck by infecting and inflaming the meninges, which are the protective membranes surrounding the spinal cord and brain. https://www.nhs.uk/conditions/neck-pain-and-stiff-neck/

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BEST SEATING POSITIONS FOR GOOD POSTURE WHEN WORKING ON THE COMPUTER

(1) SUPPORT YOUR BACK
If your office chair doesn’t have lumbar support, grab a small towel and roll it up. A small pillow will also work. When you slide back in your chair after finding your proper posture, place the towel or pillow between the chair and your lower back. This support device should help you maintain good posture. If the towel or pillow is too large, you could be forcing your spine into an awkward position that will be painful quickly.

(2) ADJUST YOUR CHAIR
Move your seat up or down until your legs are parallel with the ground and your knees are even with your hips. Your arms should be parallel to the ground, too.

Your feet should be resting on the floor. If they aren’t, use a stool or footrest to elevate your feet until you are in this position.

(3) PUT YOUR FEET ON THE FLOOR
Your feet should be flat on the floor. If you’re wearing shoes with heels, removing them may be most comfortable.

Don’t sit with your legs crossed. This can reduce blood flow and cause muscle strain.

(4) KEEP YOUR COMPUTER SCREEN AT EYE LEVEL
Adjust the monitor until it’s about an arm’s length away.

The top of your computer’s screen should be no more than 2 inches above your eye level. Computer monitors that are too low or too high can strain your neck and eyes.

(5) USE A HEADSET IF YOU SPEND A LOT OF TIME ON THE PHONE
If you spend a lot of time on a phone and typing or writing at the same time, use a speakerphone. Bending your neck to cradle the phone can cause stiff muscles, pain, and even ligament damage over time.

(6) TAKE REGULAR BREAKS
Sitting for long periods can reduce blood flow and cause muscle fatigue. To prevent that, take frequent breaks.

When you take a break, stand up and walk away from your desk if you can. Get your blood flowing by doing some calf raises and shoulder shrugs. https://www.nhs.uk/live-well/healthy-body/how-to-sit-correctly/

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7 COMMON RISK FACTORS OF DEVELOPING BACK PAIN

(1) Lack of exercise. Weak and unused muscles in your back and abdomen might lead to back pain.

(2) Improper lifting. Using your back instead of your legs when lifting a heavy object can lead to back pain.

(3) Age. Back pain is more common as you get older.

(4) Excess weight. Excess body weight puts extra stress on your back and this might lead to back pain.

(5) Diseases. Some types of arthritis and cancer can contribute to back pain.

(6) Psychological conditions. People prone to depression and anxiety appear to have a greater risk of developing back pain.

(7) Smoking. This may occur because smoking prompts more coughing which can lead to a herniated disc. Smoking can also decrease blood flow to the spine and increase the risk of osteoporosis.

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BEST GUIDE FOR CHOOSING A COCCYX SEAT CUSHION

Coccyx cushion (also known as coccydynia cushion) help to reduce pressure on your back or tailbone while sitting for extended periods. Before you buy it, make sure that a coccyx seat cushion:

  • is made from a 100% memory foam with no additives,
  • is a U-shaped ergonomic design, this design help reduce the pressure on your inflamed or bruised tailbone,
  • cover is machine washable,
  • base is non-slip, this ensures minimal movements and prevents having to constantly adjust the cushion,
  • built-in handle so that its easy to be carried,
  • price. If you trust the brand, the price probably does not matter. The exception lies with therapeutic cushions designs for a specific purpose (like seat cushions to also provide relief for orthopaedic condition). https://www.nhs.uk/conditions/tailbone-pain-coccydynia/treatment/
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YOUR FIRST APPOINTMENT WITH CHIROPRACTOR

Your chiropractor must clearly explain to you what they found during your examination, how they propose to treat you and the benefits or any significant risks associated with your condition and proposed treatment.

Below are some of the questions you may ask your chiropractor:

  • will the treatment hurts?
  • Can someone come in the treatment room with you?
  • Will you be treated in a private room? Most chiropractor treat patients in a private room. However, some chiropractor use an open plan room with several treatment tables and more than one patient are treated at once.
  • Will x-rays be needed? Your chiropractor should only recommend that an x-ray is taken if there is a valid clinical reason for doing so.
  • What if the treatment doesn’t seem to help?
  • What are the costs? Costs vary depending upon the location and the nature of the clinic.
  • How can you make sure that the treatment is safe? https://www.nhs.uk/conditions/chiropractic/
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MUSCLE STRAIN AND LIGAMENT SPRAIN

A lower back sprain can happen suddenly or can develop slowly over time from repetitive movements.

Strains occur when a muscle is stretched too far and tears, damaging the muscle itself.

Sprains happen when over-stretching and tearing affect ligaments which connect the bones.

In most cases, it does not matter whether the muscle or ligament is damaged because the symptoms and treatment are the same. https://www.nhs.uk/conditions/sprains-and-strains/

Common causes of strains and sprains include:

  • lifting a heavy object or twisting the spine while lifting
  • sudden movements that place too much stress on the low back, such as a fall
  • poor posture over time
  • sports injuries, especially in sports that involve twisting or large forces in impact
Back pain associated with driving long distances, Uncategorized

BACK PAIN ASSOCIATED WITH DRIVING LONG DISTANCE

Driving long distance can cause back pain. If your job involves long hours of driving or if you drive more than 30 minutes to work and more than 30 minutes from work you can develop back pain. Driving exposes your body to different forces that can cause pressure on your back. These forces include sudden break, vibration, acceleration and deceleration. Longer heavy goods drivers are exposed to a lot of vibration and consequently this group of drivers report more back pain.

Below are 8 tips to help prevent or alleviate back pain:

(1) Plan your journey. Knowing how long your journey will be, will help you to take regular breaks before the back pain begins.

(2) Take regular breaks and move around.

(3) Do back stretches before you begin a journey, during your journey take breaks and do stretches when safe and possible and after the journey do stretches.

(4) Being comfortably seated is very important when driving. Ensure your seat is adjusted so it is comfortable for you. Seat on top of a specially designed memory foam seat cushion to help relieve the pressure on your back. This cushion is available on amazon on the following website: https://www.amazon.co.uk/Products-Innova-Orthopedic-Cushion-Removable/dp/B07Q6RVPXB/ref=sr_1_5?dchild=1&keywords=products+innova+coccyx+cushion&qid=1595463124&sr=8-5

(5) If possible, on long journeys, try to share the driving with another person.

(6) Try to maintain a good driving posture, this is easier to do if you adjust your seat and you seat on top of a specially designed memory foam seat cushion.

(7) When getting in and out of your vehicle, do not twist your back but rather rotate your whole body.

(8) When loading and unloading items from your vehicle, use proper lifting technique when lifting a load.

image of orthopaedic seat cushion on car seat
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HIP DYSPLASIA

This is the medical term for the hip socket that does not fully cover the ball portion of the upper thigh bone. This allows the hip to become partially or completely dislocated. Most people with hip dysplasia are born with this condition. https://www.evidence.nhs.uk/search?ps=50&q=hip+dysplasia

Milder cases of hip dysplasia might not start causing symptoms until a person is a teenager or young adult.

RISK FACTORS

Hip dysplasia tends to run in families and is more common in girls. The risk of hip dysplasia is also higher in babies born in the breech position and in babies who are swaddled tightly with the hips and knees straight.

COMPLICATIONS

Later in life hip dysplasia can damage the soft cartilage (labrum) that rims the socket portion of the hip joint. This is called the labral tear. Hip dysplasia can also make the joint more likely to develop osteoarthritis. This occurs because of higher contact pressures over a smaller surface of the socket.

TREATMENT

Hip dysplasia treatment depends on the age of the affected person and the extent of the hip damage. Infants are usually treated with a soft brace that holds the ball portion of the joint firmly in its socket for several months. This helps the socket mould to the shape of the ball.

If the brace does not work well, especially in babies older than 6 months, the orthopaedic doctor may move the bones into the proper position and then hold them there for several months with a full-body cast. Sometimes surgery is needed to fit the joint together properly.

If dysplasia is more severe, the position of the hip socket can also be corrected. In operation called periacetabular osteotomy, the socket is cut free from the pelvis and then repositioned so that it matches up better with the ball.

Acetabular osteotomy is commonly used as a surgical treatment for hip dysplasia in adolescents.

Hip replacement surgery might be an option for older people whose dysplasia has severely damaged their hips over time, resulting in debilitating arthritis. Patients with developmental dysplasia of the hip have a high incidence of sciatic nerve injury after total hip arthroplasty. A high incidence of sciatic nerve injury may be related to the over-lengthening of the lower-limb in total hip arthroplasty and the complexity and difficulty in performing the surgery. https://www.nhs.uk/conditions/developmental-dysplasia-of-the-hip/