JohnstonPT: Is it Back Pain Or Sciatica?

UNDERSTANDING BACK PAIN 7 4 6 2 8

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Being educated about your back pain can help you make the right choices to overcome it as quickly as possible. One of the biggest problems with back pain is that it often lingers. This leads many people to deal with back pain for years on end without seemingly any end in sight. While there is back pain that develops as a result of strain or sprain, there is also something called low back degenerative disc disease, which happens when the discs in your spine start to break down. This frequently develops as a result of repetitive back injury and can also develop as a result of age. With degenerative disc disease, the space between the discs begins to collapse and become unstable, and can cause back pain to develop. When you work with a physical therapist to overcome back pain as a result of degenerative disc disease, your physical therapist will begin by strengthening core muscle groups, which includes the abdominal wall, and will provide you with education and targeted stretching techniques to alleviate pain. While some back pain is easy to identify as pain, such as is the case with degenerative disc disease, there are other situations in which the pain may be a bit more complicated to understand. One of the most common back issues experienced is sciatica pain. The cause of this sort of pain is often more difficult to identify — especially by those who aren’t familiar with the problem. How can you tell the difference between back pain and sciatica pain? The answer is that sciatica pain is characterized by the following factors: • Typically pain is only present in one side of the buttocks or leg • The pain becomes worse when you are sitting • The leg pain develops more as a burning, tingling or searing sensation, and not as a plain ache • There is a sharp pain that occurs at times, making it sometimes difficult to stand or walk 1 3 5 2 5 9 9 6 4 8 4 1 6 2 3 7 8 6 5 4 1 2 8 8 4 3 4 9 1 http://1sudoku.com n° 35089 - Level Hard

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• The pain is radiating, shooting down the leg and sometimes even into the feet and toes Sciatica pain develops in the nerves that connect the lower back to the legs, and so while the pain itself is generated from the back, a lot of time, the experience of the pain is more largely associated with the upper legs. What’s more, sciatica pain doesn’t always develop like pain in the traditional sense. Sciatica pain instead causes a buildup of tingling, numbness and weakness in the lower back and upper legs, and the pain isn’t consistent either. The sensation will typically run through the leg in waves, causing discomfort at seemingly unpredictable times. If you are experiencing back pain and you haven’t talked to a medical professional about the concern, then now is the time to take action. Working with a physical therapist can cut your time struggling with back pain literally in half. For more information about overcoming back pain, contact us. 3 7 9 2 1 n° 37953 - Level Hard http://1sudoku.com 5 9 7 6 3 9 5 1 8

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Source: https://www.spine-health.com/conditions/sciatica/what-you-need-know-about-sciatica

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I hope this newsletter finds you all doing well and I hope you enjoyed “Notes fromDave” on osteoarthritis. During these challenging times with the COVID-19 pandemic we’ve had a very busy staff. Even when we couldn’t see people in clinic, I couldn’t be more proud of how they have maximized their time. We are all continuing our education to serve you as best possible! There has been a record level of continuing education performed by our physical therapists over the course of the past five months. We’ve been fortunate to be able to host a number of different courses for local and regional physical therapists and can’t wait to use the new skills we have each learned to help optimize the outcomes of our clients. To highlight just a few: Grant Jacobson at Elevate has completed a number of Therapeutic Neuroscience courses on-line and has hosted two advanced courses at our Johnston clinic. As pictured last month, Amy, Tamie and Ben each completed level II functional dry needling coursework as we hosted this advanced class. Bryan Sumner, Andrew and a number of therapists from around Iowa completed a spinal manipulation course where we again hosted a weekend intensive class. We’ve all taken advantage of on-line learning opportunities and continue to advance our tool bag of therapeutic interventions to be the best possible therapists we can be. As we continue to dive into the science behind the art of physical therapy, we will be better equipped to help our clients achieve their goals in the safest and fastest way possible. Stay well! 6 1 3 2 1 5 8 4 4 3 2 5 2 6 2 9 http://1sudoku.com n° 318674 - Level Hard

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