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Neck &  Back Care Michelle Kwong   B.HSci(Phty), MSPA, Cert. Clinical Pilates Principal Physiotherapist Practice Director Http://www.painrelief.sg
SPEAKER PROFILE MichelleKwong.com ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPEAKER PROFILE MichelleKwong.com ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.painrelief.sg
TOPICS COVERED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPINE FACTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spine Structure ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vertebrae ,[object Object],[object Object],[object Object],[object Object]
Joints Allows movement between bones
Intervertebral Disc The  intervertebral disc  is a jelly like substance, which consists of  annulus fibrosis  and the  nucleus pulposus . Acts as a shock absorber.
Spinal cord & Nerves Roots ,[object Object],[object Object],[object Object]
Ligaments Ligaments are fibrous bands or sheets of connective tissue.  They link two or more bones, cartilages, or structures together.
Muscles Muscles attach to the spinal column, pelvis, and extremities.  They serve to support the spine
Core Muscles ,[object Object],[object Object]
Causes of  Neck & Back Pain
Causes of Neck & Back Pain Poor Carrying Posture Poor Sitting Posture
Causes of Neck & Back Pain Poor Sleeping Posture Poor Working Posture
Causes of Neck & Back Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common Problems  Neck & Back Pain
Common Conditions of  Neck & Back Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Compression Fracture ,[object Object],[object Object],[object Object]
Disc Herniation Stages of Disc Herniation 1 Disc Degeneration Chemical changes associated with aging causes discs to weaken, but without a herniation. 2 Prolapse The form or position of the disc changes with some slight impingement into the spinal canal. Also called a bulge or protrusion. 3 Extrusion The gel-like nucleus pulposus breaks through the tire-like wall (annulus fibrosus) but remains within the disc. 4 Sequestration or Sequestered Disc The nucleus pulposus breaks through the annulus fibrosus and lies outside the disc in the spinal canal.
Effects of position on disc
‘ Slipped’ Disc
Spondylosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lumbar Spondylosis Normal 58 yrs old  Degenerative Changes 83 yrs old
Nerve Root Irritation ,[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms
SIGNS & SYMPTOMS ,[object Object],[object Object],[object Object]
SEVERE  SYMPTOMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGING PAIN ,[object Object],[object Object],[object Object],[object Object]
Acute Pain Self Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Management Advice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Management Advice ,[object Object],[object Object]
Physiotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physiotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
   COLD LASER THERAPY - Stimulates immune system - Generate healthy cells & tissues - Promotes faster healing ,[object Object],[object Object],[object Object],[object Object],   ELECTROACUPUNCTURE - Non-invasive - Effects of electrical & acupuncture  therapy to reduce pain & promote  recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],ADVANCED TREATMENTS:
Physiotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Supplements ,[object Object],[object Object],[object Object]
Supplements ,[object Object],[object Object],[object Object],[object Object]
Surgery In some cases surgery is necessary, more often it is not necessary. Another 6-8 weeks of physiotherapy, at 3 to 5 times per week.  Lower rate of success, dependent  - Pain - Increased danger from anesthetic - Increased danger from possible infections - Possible post operation complications  (eg pneumonia, DVT, delayed union/nonunion, spinal cord injury) - Noticeable scars Prolonged recovery time, generally 6 to 8 weeks
Prevention of  Neck & Back Pain PREVENTION IS BETTER THAN CURE!
Prevention of Neck & Back Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Strengthening Exercises
Healthy Lifestyle Mobility Aerobic Endurance Flexibility Strength
Healthy Lifestyle
PRACTICAL  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neck Mobility Exercises ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neck Mobility Exercises ,[object Object],[object Object],[object Object]
Neck Strengthening Exercises ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neck Strengthening Exercises ,[object Object],[object Object],[object Object]
Back Stretching Exercises ,[object Object],[object Object],[object Object],[object Object],[object Object]
Back Stretching Exercises ,[object Object],[object Object],[object Object],[object Object],[object Object]
Back Stretching Exercises ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Hollowing ,[object Object],[object Object],[object Object],[object Object],[object Object]
High Plank ,[object Object],[object Object],[object Object],[object Object]
Back Strengthening Exercises ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Back Strengthening Exercises
Summary ,[object Object],[object Object],[object Object]
QUESTIONS & ANSWERS ,[object Object],[object Object]
THANK  YOU Presented By:   Michelle Kwong   B.HSci(Phty), MSPA, Cert. Clinical Pilates Principal Physiotherapist Practice Director World Malayali Club http://groups.yahoo.com/group/worldmalayaliclub/
Disclaimer ,[object Object]

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Neck &

  • 1. Neck & Back Care Michelle Kwong B.HSci(Phty), MSPA, Cert. Clinical Pilates Principal Physiotherapist Practice Director Http://www.painrelief.sg
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Joints Allows movement between bones
  • 9. Intervertebral Disc The intervertebral disc is a jelly like substance, which consists of annulus fibrosis and the nucleus pulposus . Acts as a shock absorber.
  • 10.
  • 11. Ligaments Ligaments are fibrous bands or sheets of connective tissue. They link two or more bones, cartilages, or structures together.
  • 12. Muscles Muscles attach to the spinal column, pelvis, and extremities. They serve to support the spine
  • 13.
  • 14. Causes of Neck & Back Pain
  • 15. Causes of Neck & Back Pain Poor Carrying Posture Poor Sitting Posture
  • 16. Causes of Neck & Back Pain Poor Sleeping Posture Poor Working Posture
  • 17.
  • 18. Common Problems Neck & Back Pain
  • 19.
  • 20.
  • 21. Disc Herniation Stages of Disc Herniation 1 Disc Degeneration Chemical changes associated with aging causes discs to weaken, but without a herniation. 2 Prolapse The form or position of the disc changes with some slight impingement into the spinal canal. Also called a bulge or protrusion. 3 Extrusion The gel-like nucleus pulposus breaks through the tire-like wall (annulus fibrosus) but remains within the disc. 4 Sequestration or Sequestered Disc The nucleus pulposus breaks through the annulus fibrosus and lies outside the disc in the spinal canal.
  • 24.
  • 25. Lumbar Spondylosis Normal 58 yrs old Degenerative Changes 83 yrs old
  • 26.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41. Surgery In some cases surgery is necessary, more often it is not necessary. Another 6-8 weeks of physiotherapy, at 3 to 5 times per week. Lower rate of success, dependent - Pain - Increased danger from anesthetic - Increased danger from possible infections - Possible post operation complications (eg pneumonia, DVT, delayed union/nonunion, spinal cord injury) - Noticeable scars Prolonged recovery time, generally 6 to 8 weeks
  • 42. Prevention of Neck & Back Pain PREVENTION IS BETTER THAN CURE!
  • 43.
  • 45. Healthy Lifestyle Mobility Aerobic Endurance Flexibility Strength
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
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  • 61. THANK YOU Presented By: Michelle Kwong B.HSci(Phty), MSPA, Cert. Clinical Pilates Principal Physiotherapist Practice Director World Malayali Club http://groups.yahoo.com/group/worldmalayaliclub/
  • 62.