Managing Low Back Pain: The Cost-Effectiveness of Early Physical Therapy Intervention – Part 3

This is part three of five posts outlining the exceptional benefits and cost savings of seeing a physical therapist first for care of a variety of musculoskeletal, pelvic, and vascular conditions.  The article can be found at valueofpt.com.

If You Have Lower Back Pain And Reside In Visalia Or Hanford – Read This!

Low back pain is one of the most common and debilitating conditions affecting millions of people worldwide. It can significantly hinder daily activities and work productivity. While various treatments are available, early physical therapy intervention stands out as a cost-effective and highly beneficial approach. This article explores the money that can be saved by patients and insurance companies when of physical therapist directed care is utilized for managing low back pain, and why it should be considered a primary treatment option.

Understanding Low Back Pain

Low back pain can stem from various causes, including muscle strain, herniated discs, arthritis, and poor posture. It can range from a dull, constant ache to a sudden, sharp pain that makes it hard to move. Acute low back pain lasts for a few days to a few weeks, while chronic back pain persists for more than three months.

The Role of Physical Therapist Directed Care in Treating Low Back Pain

Physical therapy offers a comprehensive treatment plan that addresses the root causes of low back pain and provides long-term relief. At Bacci & Glinn Physical Therapy, we use a combination of patient education, biopsychosocial training, manual therapy, therapeutic exercises, and personalized treatment to help patients recover and prevent future episodes of back pain.

Here’s More Information About These Various Treatment Techniques:

  • Manual Therapy: Our skilled therapists use hands-on techniques to mobilize and manipulate the spine and surrounding tissues. This helps reduce pain, improve mobility, and enhance overall spinal function.
  • Therapeutic Exercise: Customized exercise programs strengthen the muscles supporting the spine, improve flexibility, and promote proper posture. These exercises are crucial in alleviating pain and preventing future injuries.
  • Patient Education: Educating patients about their condition and how to manage it is essential. We provide guidance on pain management techniques, lifestyle changes, and ergonomic adjustments to help patients maintain a healthy back.
  • Personalized Treatment Plans: Every patient is unique, and our therapists create tailored treatment plans that address individual needs and goals. This personalized approach ensures optimal outcomes and long-lasting relief.

The Dollars & Sense of Seeing A Physical Therapist At Bacci & Glinn Physical Therapy

Physical therapy not only provides effective pain relief but also offers significant cost savings over other treatments.

  • Out of Pocket Savings For Patients: Research shows that physical therapy is a cost-effective treatment for low back pain. A study by the American Physical Therapy Association found that the average cost of physical therapy for low back pain is around $1,000, compared to over $2,000 for traditional primary care management, which often includes medications and diagnostic imaging.
  • Reduced Healthcare Costs:Physical therapy can significantly reduce overall healthcare costs by minimizing the need for expensive diagnostic tests, medications, and surgical interventions. Patients who receive early physical therapy intervention are less likely to require costly procedures such as spinal injections or surgery.
  • Improved Productivity: By alleviating pain and restoring function, physical therapy helps patients return to work and daily activities more quickly. This reduces lost income and increases productivity. According to the study, patients who received physical therapy for low back pain missed fewer days of work and reported higher productivity levels compared to those who did not receive physical therapy.
  • Prevention of Chronic Pain: Early intervention with physical therapy can prevent acute low back pain from becoming chronic. Chronic back pain is associated with higher healthcare costs and more significant loss of productivity. By addressing the issue early, physical therapy can save patients from the long-term economic burden associated with chronic pain management.

Success Stories from Bacci & Glinn Physical Therapy

I had come in with minor to major back pain from 4-5 days of the week. I was a bit skeptical to start but with 2-3 visits I saw immediate results. Now if I have back pain, it’s maybe down to 1 day a week. Great place and staff! Highly recommended!
Michael M.
– Google

Why Choose Physical Therapy?

Choosing physical therapy for low back pain is not just a smart economic decision but also a proactive step towards better health. Physical therapy offers:

  • Non-Invasive Treatment: Unlike surgery, physical therapy is non-invasive and carries no risk of surgical complications.
  • Natural Pain Relief: Physical therapy focuses on natural pain relief through exercise and manual techniques, avoiding the need for medications.
  • Long-Term Benefits: With improved mobility and reduced pain, patients can enjoy a better quality of life and reduced risk of future back pain episodes.

Take The First Step To Affordable & Effective Relief

If you or a loved one is struggling with low back pain, don’t wait to seek help.

Call us today at (559) 733-2478 in Visalia or (559) 582-1027 in Hanford to schedule an appointment and learn more about how physical therapy can help you.

In Summary:

Low back pain doesn’t have to dictate your life. Physical therapy offers a cost-effective, non-invasive, and highly effective treatment option that can alleviate pain, improve function, and enhance your overall quality of life. Choose Bacci & Glinn Physical Therapy for expert care and take the first step towards a pain-free life today.

Reference

For more detailed information, please refer to the PDF report from the American Physical Therapy Association available at valueofpt.com .

Back to Basics: How Physical Therapy Transforms Acute Lower Back Pain Management

Dealing with acute lower back pain can feel like a solitary journey, but it doesn’t have to be. Physical therapy stands out as a beacon of hope, offering not just immediate relief but also a pathway to long-term recovery. Here’s how seeing one of the physical therapists in Visalia or Hanford can save you a lot of time, money, and unnecessary suffering.

Recent studies have shown that choosing physical therapy as the first line of treatment can save patients significant amounts in healthcare costs. For instance, the American Physical Therapy Association’s report reveals that physical therapy can result in average net savings of $4,160 per episode of care when compared to other treatment options for conditions like acute lower back pain.

Understanding the Impact of Acute Lower Back Pain

Acute lower back pain is more than just an inconvenience; it’s a global issue affecting millions each year. The discomfort can range from a dull, constant ache to a sudden, sharp sensation, making everyday activities seem daunting. While the causes vary, the urgency for effective, non-invasive treatments remains constant.

The Physical Therapy Advantage

Physical therapy isn’t merely about symptom management; it’s about treating the root cause and prevention of pain in the future too. Here’s how it makes a profound difference:

  1. Tailored Treatment Plans: Physical therapists assess each individual’s specific condition, crafting personalized treatment plans. This approach ensures that each movement and exercise directly targets the source of the pain, promoting a faster and more sustainable recovery.
  2. Pain Reduction and Improved Mobility: Through a combination of manual therapy, strengthening exercises, and flexibility routines, physical therapy helps in reducing pain and enhancing mobility. This proactive approach not only alleviates discomfort but also improves overall functionality, allowing individuals to return to their daily routines with ease.
  3. Preventing Future Episodes: One of the most significant aspects of physical therapy is its focus on education and future injury prevention. Patients learn proper body mechanics, posture correction, and exercises that they can incorporate into their daily lives, significantly reducing the risk of future back pain episodes.
  4. Economic Efficiency: Opting for physical therapy can lead to substantial cost savings. By reducing the need for expensive medical procedures and minimizing the reliance on pain medications, patients can enjoy a more cost-effective route to back pain management.

Embracing a Pain-Free Future

Physical therapy represents a holistic, patient-centered approach to acute lower back pain management. Its benefits extend beyond immediate pain relief, offering long-term solutions and preventive strategies that empower individuals to lead a pain-free life.

In the journey towards overcoming acute lower back pain, physical therapy stands out as a comprehensive, economical, and empowering treatment option, ensuring that patients not only recover but also thrive.

For an in-depth understanding of the economic and health benefits of physical therapy, refer to the detailed analysis in the APTA report.

If You Are Suffering With Acute Lower Back Pain, We Have Two Convenient Locations – Contact Us Today!

References:

  • APTA’s “The Economic Value of Physical Therapy” Report: This report provides a comprehensive analysis of the costs and benefits of physical therapy across various conditions, including acute lower back pain.
  • APTA Report

By incorporating these insights and strategies, individuals dealing with acute lower back pain can embark on a transformative journey towards recovery, backed by the expert care and guidance of physical therapy professionals.

10 Reasons to Choose Physical Therapy for Lower Back Pain Over Other Treatments

 

If you’re struggling with lower back pain, you’ve probably considered various treatment options like opioid medications, MRI tests, epidural injections, or even surgery.

However, before making a decision, it’s essential to understand why physical therapy (PT) can be a more effective and safer choice.

Here are 10 reasons to consider:

  1. Non-Invasive Nature: Unlike surgery, PT is non-invasive. It helps alleviate pain and improve mobility without the need for incisions or anesthesia, reducing the risk of complications like infections and repeat surgeries…all of which come with a high price…not to mention, it can take several months to recover.
  2. Avoiding Opioid Dependency: Opioids can provide short-term relief but come with a high risk of addiction and other side effects like nausea, constipation, and drowsiness. PT, on the other hand, addresses pain management and recovery without these risks.
  3. Cost-Effective: MRI tests and surgery can be expensive, often involving high co-pays or deductibles. PT typically is more cost-effective and is covered by most insurance plans.  Moreover, MRI results often include false positives. This can have a significant psychological and emotional impact.
  4. Long-Term Solutions: Physical therapy offers patient education, personalized exercises, and lifestyle changes that provide long-term relief, unlike temporary solutions like epidural injections.  Like surgery, epidural injection can result in serious side effects like allergies, infections, and often only provide temporary relief.
  5. Personalized Care: A physical therapist tailors treatment to your specific needs, focusing on the root cause of your pain, which is often not detectable by an MRI.
  6. Improving Mobility and Strength: PT not only alleviates pain but also enhances overall mobility and strength, reducing the likelihood of future injuries.
  7. Education and Self-Management: Physical therapists educate you on managing pain and preventing future episodes, empowering you with knowledge and self-care strategies.
  8. Avoiding Side Effects of Injections: Epidural injections can provide temporary relief but come with risks like infection, allergic reactions, and nerve damage. PT avoids these risks.
  9. Supporting Overall Health: PT promotes overall health and wellness, encouraging active lifestyle changes that benefit your entire body, not just your back.
  10. Accessibility: PT is often more accessible than other treatments. You don’t need to wait for surgery dates or recovery periods; you can start and progress at your own pace.

While other treatments might offer quick fixes, physical therapy provides a safe, personalized, and comprehensive approach to managing lower back pain. It’s a holistic choice that not only addresses the immediate pain but also fosters long-term health and mobility.

If You Have Lower Back Pain, You Owe It To Yourself To See A Physical Therapist First…And Our Team Is Tops In The Community.

Call Us Today: Visalia (559) 733-2478 | Hanford (559) 582-1027

 

Poor Posture Treatment in Visalia – Who Can Help?

When it comes to spinal pain, posture is a factor.  If you are searching for poor posture treatment in Visalia or Hanford, we can help.  Read to learn more about posture problems and how to address them.

Lower back pain is an extremely common issue, with 13.1% of US adults having chronic back pain, 4%-25% of the Canadian adult population, and around 28 million adults suffering from it in the UK alone. While there are many potential causes, research increasingly shows that poor posture is a major contributing factor for many people. In this blog post, we’ll summarize some of the key takeaways from a recent Guardian article on how posture impacts back pain. Reference

Some Basics About Spinal Posture

The spine has natural curves that serve an important purpose. These curves work like a coiled spring to absorb shock and impact. When our posture is off, it can lead to exaggerated curves that put extra strain on the structures of the spine. This added pressure over time can lead to back pain and other issues.

What Exactly is Good Posture?

So what constitutes good posture? Proper alignment calls for having the ears stacked over the shoulders and the shoulders over the hips. The neck should curve slightly inward, the mid-back region slightly outward, and the lower back curve slightly inward again. Posture tends to get worse as we age.  The curves become accentuated, adding torque, compression, and tension to the elements of the spine that keep it together.  So maintaining this ideal alignment requires consistency and effort.  This includes awareness, stretching, strengthening, and avoiding repetitive habits that lead to poor posture.

Contributors to Poor Posture

There are many habits that contribute to poor posture, especially in today’s technology-driven world. Slouching at a desk, hunching over a phone, and even things as simple as crossing legs when seated can throw off the spine’s natural curves over time. Correcting these issues by stacking the spine properly and using simple techniques to maintain good alignment of the pelvis and the back throughout the day, can help.

How Can the Physical Therapists with Poor Posture Treatment in Visalia?

When it comes to neck or lower back pain treatment, addressing posture is key. Physical therapists can assess where misalignments exist and provide personalized exercises and stretches to improve postural habits. Techniques like the McKenzie Method can also help educated patients about postural dysfunctions and provide them with specific techniques that they can perform independently. Even simple cues like straightening up against a wall or pulling the shoulders back while seated can be helpful reminders.

There is a Link Between Posture & Pain…and We Can Help You Break It

In summary, this article highlights the strong link between posture and back pain. Maintaining the spine’s natural alignment requires vigilance but can reduce strain and tension. By making posture a priority and utilizing professional help where needed, many instances of back pain can potentially be avoided or corrected.

So, if you are in need of poor posture treatment in Visalia here, give us a call.

Contact One of Our Two Offices in Visalia (559) 7332478 or Hanford (559) 582-1027 Today

New Research to Share from Back Pain Treatment Experts in Visalia

Positive Lifestyle Behaviors And Emotional Factors Can Improve Resilience in Patients With Low Back Pain

If you are suffering with lower back pain on the left, right, or across and down a leg, here’s something that might help with mindset…from our back pain treatment experts in Visalia.  Of course, I’m referring to our doctors of physical therapy.

Half Experience This Problem – Here’s Some Background

Low back pain is extremely common. About one-half of all working Americans will experience symptoms at least once per year, and roughly 31 million are affected by it at any given point in time. It is also the leading cause of years lived with disability worldwide. So if you’ve dealt with low back pain at any point, you’re far from alone.

Dealing with low back pain can be troublesome and place a strain on everyday life, as many typical movements—like bending over to pick something off the ground or twisting your torso when looking to the side—can become strenuous or difficult. In addition, up to two-thirds of patients with low back pain report having persistent pain one year later, which can make matters worse.

Searching for Back Pain Treatment in Visalia? We Offer a Long-Term Solution

This highlights the need to identify solutions that will help relieve the years of suffering that can be associated with low back pain. Physical therapy and other nonsurgical interventions are typically recommended as the first line of treatment for low back pain, but since the origins of pain are complex and derived from physical, mental, and social factors, a multifaceted approach that addresses these varied factors may be most effective.

Resilience – It Means More than Just Putting Up with the Pain

Resilience is a dynamic process that relates to a patient’s ability to adapt and adjust to adversity, which results in either recovery or sustainability of the adverse circumstance. This concept is one our back pain treatment experts in Visalia apply. It’s likely to be applicable because it takes the focus away from the negative components of the condition, and places it instead on the positive components to show patients that recovery is possible.

The Research

Therefore, a study was conducted to evaluate the relationship between lifestyle behaviors and emotional health factors on low back pain resilience, which was assessed through recovery and sustainability. Researchers administered a survey to 1,065 twins who had low back pain for at least one day in the previous three months at the start of the study. The survey was used to gather information and create a lifestyle behavior score (based on body mass index, activity engagements, sleep quality, smoking and alcohol use) and emotional health score (based on the absence of depression, perceived stress, active coping). Follow-up surveys were administered every 2–3 years to compare these scores with the primary outcomes of low back pain resilience assessed as recovery and sustainability of maintaining high levels of function despite having low back pain.

Although no relationship was found between the lifestyle behavioral score and the emotional health score to a likelihood of recovery from low back pain, there was a positive association between these scores and greater levels of sustainability of function despite having low back pain. The results suggest that people who adopt positive lifestyle behaviors and positive emotional factors are more likely to be resilient and more likely to maintain high levels of function despite having low back pain episodes.

Our Back Pain Experts Address Both Lifestyle & Emotional Health

Patients with low back pain are therefore encouraged to focus on addressing both lifestyle behaviors and emotional health factors—such as those identified in this study—in addition to physical interventions to improve their ability to sustain their pain and function better.

Contact Our Back Pain Treatment Experts in Visalia…and Hanford Too

If you’re dealing with low back pain and are looking for additional guidance, we can help. Contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) for more information or to schedule an appointment today.  Click here to visit our contact page for details.

Core Ex + Manual Therapy for CLBP

Manual Therapy And Core-Strengthening Exercises Can Effectively Alleviate Chronic Low Back Pain

Low back pain is jarringly common. About one-half of all working Americans will experience symptoms at least once every year, and roughly 31 million are affected by it at any given point in time. So if you consider yourself part of this group, you have plenty of company.

Dealing with low back pain can be troublesome and place a strain on everyday life. Typical movements like bending over to pick something off the ground or twisting your torso when looking to the side might suddenly give you pause and make you less mobile in the process. This is one of the main reasons that low back pain is also one of the leading causes for missed work due to disability.

Fortunately, most cases of low back pain will resolve on their own over a short period of time

Ninety-percent of people with back pain will experience complete resolution, but for about 10% of patients, pain will persist beyond three months, in which case it’s called “chronic” low back pain. When the condition becomes chronic, it often leads to greater disability and has an even stronger impact on one’s quality of life due to the frequency and severity of the pain. In addition, although only a small percentage of patients experience chronic low back pain, it accounts for 80% of the indirect costs because treating it is often more difficult.

Physical therapy, however, is an extremely effective treatment option for low back pain at any stage of its development. When treating chronic low back pain, physical therapists use many of the same principles that are used to treat acute low back pain—which is pain lasting for less than three months—but they place an even greater focus on education about the psychological aspects of pain, which are significant in these cases. Some of the interventions therapists use most frequently for chronic low back pain include manual (hands-on) therapy, stretching exercises, strengthening exercises for the back and core muscles, and education on the nature of chronic pain and how to break out of negative thinking patterns.

Study supports the value of manual therapy and core-strengthening exercises

The benefits of physical therapy for chronic low back pain were highlighted in a recently published study called a randomized-controlled trial, which is considered the gold standard for individual studies. For the study, 148 patients with chronic low back pain were randomly assigned to either cognitive functional therapy or a therapy program focused on core exercises and manual therapy. Cognitive functional therapy is an intervention led by physical therapists that integrates strategies from psychology and neuroscience into a comprehensive treatment regimen. Both interventions lasted for eight weeks, and patients were evaluated periodically for up to one year.

Results showed that one year later, both groups experienced improvements in disability and there was no difference in pain intensity between the two interventions. Therefore, this highlights how core-strengthening exercises and manual therapy are effective for patients with chronic low back pain in the long term.

If you’re dealing with chronic low back pain, we can help. Contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) for more information or to schedule an appointment today.

Patients and HCP Perceptions about LBP

Patients’ And Healthcare Providers’ Perceptions On Back Pain Do Not Always Align

Low back pain is jarringly common. About one-half of all working Americans will experience related symptoms at least once every year, and roughly 31 million are affected by it at any given point in time. In essence, low back pain is just “one of those things” that we will all probably face in the eventual future if we haven’t already faced.

Dealing with low back pain can be troublesome and place a strain on everyday life. Typical movements like bending over to pick something off the ground or twisting your torso when looking to the side might suddenly give you pause and make you less mobile. This regular reminder naturally leads to frustration and often creates a shift in focus to one question: “what’s causing my pain?”

As a result, many patients with low back pain start to place a particularly strong—sometimes unhealthy—emphasis on obtaining a diagnosis. This desire may be explained by several factors, such as the assumption that the diagnosis will provide a clear explanation of what is causing the pain and what treatments will improve it, even though this is rarely true. Nonetheless, not receiving a diagnosis can lead to anger and frustration in patients who feel that they are not being heard or understood. Some healthcare providers may also experience frustration with low back pain patients who expect their problem to be “fixed” by certain interventions, regardless of how realistic these expectations are.

Healthcare providers underestimate the importance of an explanation for pain

A study was therefore conducted to evaluate the expectations of patients with low back pain and compare these expectations to the assumptions of the healthcare providers who treat them. This was a survey-based study, which administered one survey to 419 patients who were visiting a doctor for low back pain for the first time. In addition to questions about demographics and pain characteristics, this survey included 8 variables frequently related to the medical care of low back pain (eg, improvement in pain/function, explanation of what is causing the pain, diagnostic testing, medication, physical therapy, and surgery), which patients were asked to rank in terms of personal importance on a 5-point scale. A similar survey was given to 198 healthcare providers, who were asked to rank the same 8 variables in terms of their importance to patients.

Patients considered an explanation for what is causing their pain to be far more important

Results showed that both patients and healthcare providers attributed similar—and high—levels of importance to the improvement of pain and the improvement of function; however, there were also several key differences in the assessment of expectations. Patients considered an explanation for what is causing their pain to be far more important than healthcare providers believed, while patients attributed much less importance to diagnostic tests, medications, and surgery compared to healthcare providers. This suggests that healthcare providers are more driven to act by ordering tests and administering treatments for their patients, while patients appear to be more interested in receiving a diagnosis.

Unfortunately, a clear diagnosis for low back pain is not always possible, or helpful.

Approximately 70–80% of all low back pain cases do not have a specific identifiable cause and are classified instead as “non-specific back pain,” which patients could contribute to patients’ frustration because it does not explain their pain. It’s also worth noting that some apparent back pain diagnoses—like a herniated disc—may not truly be responsible for the patient’s pain, which can lead to unnecessary and unhelpful treatments being undertaken.

Nonetheless, this study shows that it is essential for healthcare providers to clearly communicate with patients and educate them on the nature of low back pain, particularly by explaining that not all pain is dangerous or a reflection of injury.

As physical therapists, we incorporate these methods into our practice, and explain to each of our patients with low back pain that a diagnosis is usually less important than they might think. Instead, we start patients on a comprehensive treatment program right away that will address their pain and functional limitations without the need for other diagnostic tests that could possibly do more harm than good.

Contact Us Today for Help

So, if you’re dealing with low back pain, we invite you to contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more or schedule an appointment today.

Postoperative Opioid Use After Spinal Fusion

Opioid Use Persists In Many Patients After Common Spine Surgery

The prevalence of pain is far greater in the spine than anywhere else in the body. In fact, back pain ranks only behind skin disorders and osteoarthritis/joint disorders in top reasons to visit a doctor. Up to 80% of the general population will experience at least one episode of back pain in their lives, and about 65 million Americans report dealing with a back-related issue recently. So, if your back is bothering you right now, you’re far from alone.

Most cases of back pain will resolve on their own over time, and studies consistently show that patients with persistent or chronic back pain can improve from conservative interventions like physical therapy. But research has also shown that opioids represent one of the most prescribed treatments for back pain, either along with other conservative interventions or independently. The high risk for abuse and addiction with opioids is well documented by now, and these drugs also fail to truly resolve patients’ pain by only masking the sensation and tricking the brain that it has dissipated.

Surgical procedures like lumbar spinal fusion—which joins together two moveable bones in the lower back—is typically regarded as a last resort for chronic back pain, but rates of this surgery have been steadily increasing over the past few decades.

In addition, up to 70% of patients who decide to have surgery have already begun taking opioids by this point, with nearly 20% being dependent on opioids prior to their procedure. The use of opioids may affect outcomes, and most patients would prefer to not take opioids for an extended period after their procedure. But statistics show that continual use is somewhat common, both in patients taking opioids before surgery and in those who do not.

More than one in three patients are taking opioids six months after surgery

Therefore, a study was conducted to determine how many patients who undergo lumbar spinal fusion continue to take opioids in the long term. This type of study was called a systematic review, in which researchers performed a comprehensive search of four major medical databases to identify relevant studies that tracked the use of opioids in patients for at least six months after a lumbar spinal fusion procedure. A total of 329 studies were identified in the search that met all inclusion criteria. Of these, only 32 (9.7%) included data on the use of opioids, and only 21 (6.4% of all included studies) tracked the use of opioids for at least six months.

Analysis of this data revealed that the long-term use of opioids after surgery varied greatly from 6% to 86%. The average across all studies was 35%, with an average follow-up of 34 months. This suggests that more than one in three patients were taking opioids for at least six months after undergoing lumbar spinal fusion. The percentage of patients who were on opioids before the procedure also varied substantially, from 23% to 76%.

Based on these findings, it appears that many patients who have spine surgery continue to rely on opioids for pain relief for six months or more after their procedure. This contradicts with most patients’ expectations, as it is a common conception that surgery will automatically alleviate pain and eliminate the need for continual pain medication.

This information is particularly valuable for patients with chronic low back pain who are weighing the pros and cons of surgery.

While surgeries like lumbar spinal fusion may be appropriate and beneficial for certain patients, this study shows that it may not always lead to the outcomes that most patients expect, and it could maintain or create a reliance on opioids in the long term. For these reasons, we believe physical therapy is a much safer and more effective option for most cases of low back pain, since it can often produce long-term relief without the need for opioids.

Experiencing Lower Back Pain? Give Physical Therapy a Try

If you’re dealing with low back pain, we invite you to contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more or to schedule an appointment today.

Exercise Program to Correct Posture for Musculoskelatal Pain

Exercises Intended To Correct Posture Can Effectively Address Painful Conditions

In our last blog, we explained what posture is and reviewed some of negative consequences of practicing poor posture, with a particular focus on forward head posture and rounded shoulders. We also pointed out that many modern habits—like sitting at a desk and using a computer or smartphone—are big contributors to poor posture because these activities encourage improper alignment of the spine and other body parts.

Technology Often Doesn’t Promote Good Posture

If you use a computer for work or tend to spend lots of time on your phone, it might be easy to see why this is the case. Working on a computer requires being in a seated position for extended periods every day, and it’s difficult to maintain proper posture for all—or even most—of this time. Instead, many individuals tend to change their posture frequently throughout the day by slouching, leaning too far back, or crossing their legs to stay comfortable.

Repeated Positions Lead to Bad Habits

The longer the body is out of postural alignment, the easier it becomes to continue these habits, and the greater the risk grows for pain and deformity. Over time, poor postural habits can negatively affect the bones, muscles, and joints supporting the spine and lead to imbalances that limit movement and make normal exercise difficult. Poor posture will also prevent these supporting structures from functioning properly and can go on to cause appearance issues, musculoskeletal pain, and physical restrictions.

Investigating posture-correcting exercises for pain

This highlights the importance of practicing good posture to maintain the proper arrangement, balance, and function of the body’s structures, and shows why taking steps to correct posture are key to optimal overall health. With this in mind, a study was conducted to evaluate the effectiveness of an exercise program designed to correct posture on patients with musculoskeletal pain.

Patients with various types of musculoskeletal pain were screened for inclusion, and 88 of those screened were included in the study. Each of these patients completed an exercise program, which consisted of three 20-minute sessions per week for eight weeks. The first week of the program included stretching exercises intended to improve flexibility of the calves, spine, shoulders, and other regions of the body. The remaining seven weeks included a variety of additional exercises and activities designed to correct posture, such as a lower muscle strengthening exercise, an abdominal muscle strengthening exercise, and head and neck stretching exercise. These patients were assessed before and immediately after the exercise program for pain levels in the neck, shoulders, middle back, lower back, and pelvis by using a 10-point scale.

Physical Therapist Guided Exercise Again is Helpful

Results indicated that the average pain scores were lower after the exercise program in all regions of the body assessed. Of these, the values for shoulder pain, middle back pain, and lower back pain were statistically significant, meaning that these improvements were important enough to support the effectiveness of this intervention. Based on these findings, it appears an exercise program that focuses on correcting posture can alleviate pain in patients with various types of musculoskeletal pain. Physical therapists are movement experts and professionals at identifying postural faults and addressing them with appropriate, individualized exercise programs.

We Can Help You Correct Posture Problems

Therefore, if you’re currently suffering from pain of any sort that may be related to your posture, we strongly encourage you to come in and see us for an evaluation. Contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to schedule an appointment today.

Stabilization Exercises and Manual Therapy for Posture

Hands-On Therapy Plus Targeted Exercises Improves Posture And Reduces Pain

Posture is the position and orientation that each part of your body is in, both when you’re moving and while at rest. Good posture means your muscles and bones are in a state of balance that protects these structures from injury and deformity, and it is primarily characterized by a straight spine that maintains the natural curves of the body. Poor posture, on the other hand, is the improper alignment of various body parts, which can result in increased strain and less efficient balance of the body over its base of support. Any sustained position that places the body in a state of misalignment can contribute to poor posture, such as slouching with the shoulders hunched forward, keeping your head held too high, or looking down too frequently.

Head Forward Posture Needs to be Addressed

One of the most common postural faults is called forward head posture, which can be found in about 66–90% of the population. Forward head posture is a state in which the head is slanted in front of the shoulders by an inch or more instead of directly over the shoulders, where it should be positioned. Other names for forward head posture include “text neck” and “nerd neck” because common culprits include spending too much time bending toward a computer screen and craning the neck downward to look at a smartphone.

Don’t Work Your Postural Muscles so Hard

Forward head posture forces the muscles of the neck to work harder to hold up the head, and the further forward it’s positioned, the harder these muscles have to work. Over time, overworking these muscles can lead to muscle imbalances as the body tries to adapt while figuring out other ways to hold the head up straight. Excessive forward head posture may also lead to reduced flexibility of the neck—particularly when rotating and flexing the neck—and can have a negative impact on balance.

Rounded Shoulders – Another Easy Fix

Another related postural issue is rounded shoulders—or “mom posture”—which is when the resting position of the shoulders is too far forward from the body’s ideal alignment. As with forward head posture, rounded shoulders often result from extended periods of slouching with the shoulders positioned too far forward and downwards. When combined with forward head posture, it can lead to further strain and cause shoulder pain and dysfunction.

Strengthening exercises and hands-on therapy could be a solution for posture issues

These types of postural faults can effectively be addressed through exercises that increase muscle strength and stability, as well as manual (or hands-on) therapy techniques that improve range of motion and alleviate pain; however, research on the combination of these interventions for improving posture is limited. Therefore, a study was conducted to evaluate the effectiveness of a physical therapist-led treatment program that combined stabilization exercises with manual therapy for patients with forward head and rounded shoulder postures.

Research Supports Specific Exercises…Again

After being screened for inclusion, 60 patients were randomly assigned to 1 of 3 groups: Group 1 performed stabilization exercises and received manual therapy, Group 2 performed stabilization exercises only, and Group 3 performed home exercises only. Each of these programs lasted for six weeks. A physical therapist guided patients through the stabilization exercises, which were performed three times per week for the six weeks and were designed to increase the strength and flexibility of the neck muscles. Manual therapy was performed by a manual therapist and focused on increasing the range of motion of the neck muscles through a series of manipulations. Group 3 served as the control group and performed a basic home exercise program three times per week that was intended to improve posture during daily activities. All patients were assessed before these interventions, immediately afterwards, and then one month later with several outcome measures related to pain and function.

Manual Therapy by a Physical Therapist is Even Better

Results showed that pain and function significantly improved in Groups 1 and 2 after completing the treatment program, and these improvements were maintained at the one-month follow-up. When compared to one another, it was found that patients in Group 1 experienced greater benefits in pain and function than Group 2. This suggests that the addition of manual therapy added to the positive effects from the stabilization exercises, which was likely the result of improved range of motion and reduced swelling and inflammation that resulted from manual therapy.

Exercise & Hands-on Care by a Physical Therapist Help

Additional research is needed to confirm these findings, but it appears that a physical therapist-led program that combines manual therapy and neck stabilization exercises is beneficial for patients with forward head and rounded shoulders posture.

Call Us Now for Help with Your Posture

So if you’re dealing with any neck or shoulder pain and feel that your posture is not quite ideal, Bacci & Glinn Physical Therapy can help. Contact us at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to schedule an appointment today.

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