Pathologies of the torax

 

Lumbalgia

What is it?

Pain located in the lower back area that extends from the last ribs to the upper part of the buttocks.

What possible origin does it have?

It can be due to various factors such as: muscle tension, biomechanical problems, protrusions, hernias, sedentary jobs or requiring great efforts, sports, etc.

How do we treat it?

Acute or chronic lumbago can occur. The treatment offers us many possibilities such as: electroanalgesia, joint manipulations, shock waves, Triton DTS, muscle energy, massage therapy, heat, stretching, etc.

Sciatica

What is it?

Pain similar to low back pain but in this case we also find nerve irradiations of the sciatic nerve towards the lower limbs, either up to the knee or to the foot, covering the entire posterior part of the limb.

What possible origin does it have?

Its origin is usually multifactorial: muscle tension, biomechanical problems, hernias, sedentary jobs or requiring great efforts, sports, etc.

How do we treat it?

The treatment in this case will be similar to that of low back pain to reduce muscle tension and symptomatology; and we will add neural therapy (neuromeningeal) to stretch and relax the nerve tension of the sciatic nerve.

Discopathies

What is it?

Nonspecific pain in the spine derived from the degeneration of the intervertebral disc.

What possible origin does it have?

Its origin is found in the intervertebral disc. The intervertebral disc is a pad placed between the vertebrae that helps maintain the proper functioning of the spine. This can be affected by dehydration of its internal material generated by biomechanical problems, age, calcifications, etc. When this happens, the disc can break and generate pain. If this happens, it is called discopathy.

How do we treat it?

Mobilization of joints, stretching, massage therapy, neuromeningeal, DTS.

Disc protusion

What is it?

Intervertebral disc rupture. There are different types of hernias: central, posterolateral, foraminal, extraforaminal.

What possible origin does it have?

Idiopathic, chemical degradation, cracked cartilage, Schmorl nodules, work, unhealthy habits, etc.

Scoliosis

What is it?

Lateral deviation of the spine. Several types of scoliosis are known: congenital, neuromuscular, degenerative and idiopathic.

What possible origin does it have?

In the case of congenital scoliosis, the cause is due to an anomaly present at birth. Degenerative scoliosis can be derived after an operation, vertebral collapse or osteoporosis; and neuromuscular scoliosis is related to people with spina bifida or cerebral palsy. On the other hand, most scoliosis are idiopathic, so it is impossible to attribute a specific and scientifically proven cause. That is why it remains a pathology under study.

How do we treat it?

Depending on the degrees of curvature, it is possible to opt for an orthosis treatment, surgery in the most drastic cases or physiotherapy. In the case of physiotherapy treatment we will focus on working the muscle groups that do not function normally and thus help to slow the advance of the curvature and in many cases to reverse some degrees at an early age.

Dorsalgias

What is it?

Pain in the middle part of the back.

What possible origin does it have?

Biomechanical and postural origins, muscle tension, sedentary jobs or those that require great effort, sports, etc.

How do we treat it?

Muscular treatment of the affected area and regions adjacent to the injured area by massage therapy, myofascial techniques, dry needling, stretching, etc. It is also necessary to give mobility of the different bone structures and joints that may be in dysfunction, manipulating osteopathically if necessary.

Hips bursitis

What is it?

A bursa is a sack full of fluid that acts as a cushion between the muscles, tendons, bones and joints. Bursitis is the inflammation and irritation of a bursa.

What possible origin does it have?

The main cause of bursitis is the friction of the iliotibial band over the greater trochanter in a repetitive manner in hip flexion-extension movements. There are other causes: Alterations of the biomechanics of the lower extremity, sacrum and lumbar spine, alterations in the underlying structures, such as in rheumatoid arthritis, lumbar spondylosis, alterations due to paralysis, total hip arthroplasty, osteoarthritis, falls, overuse in some sports as in runners and dancers, limb dysmetry, limb amputations, flat feet, obesity, bone spurs...

How do we treat it?

Treatment of all the musculature involved by means of ciriax of the muscular insertions and massage and stretching of the muscular bellies, also by draining and biological activating diathermy, dry puncture of the affected musculature as well as shock waves both at the tendon level and at the level of the muscle . It is essential to give mobility to the entire joint in all ranges of movement and stretch the area.

Hip prosthesis

What is it?

It consists of partial or total replacement of the joint, leading to rigidity of the area, muscular hypotonia due to lack of mobility and the appearance of possible adhesions of the scar.

What possible origin does it have?

Osteoarthritis, rheumatoid arthritis, gout, bone dysplasia (deformity), avascular necrosis (death of bone tissue due to lack of blood supply), trauma.

How do we treat it?

After the conservative treatment performed by the doctor we will move the affected joint, work the scar using cyriax to prevent the appearance of adhesions, strengthening of the hypotonic muscles as well as discharge of the rigid muscles and muscle stretching in the different planes of movement.