Physiotherapy Center: Don't Ignore Your Back Pain

Health &Wellness The Newsletter About Your Health And Caring For Your Body

JULY 2018

Do you feel aches and pains in your lower back? If so, you are not alone. Four out of every five Americans will suffer from back pain at some time in their lives. Without proper spine mobility, stability and alignment your back structures wear down over time, similar to tires that are out of alignment. (continued inside) 6 BACK CONDITIONS NOT TO IGNORE Continue An Active Lifestyle Free Of Pain!

Health & Wellness The Newsletter About Your Health And Caring For Your Body

JULY 2018

6 BACK CONDITIONS NOT TO IGNORE Continue An Active Lifestyle Free Of Pain!


• Will Your Back Hurt As You Get Older? • Refer A Friend • Relieve Back Pain In Minutes • Patient Success Spotlight CALL IN! Call for your FREE BACK PAIN ANALYSIS Call us today to schedule your first step out of pain! (345) 943-8700

of the spinal column, are the major muscle groups usually involved in lower back injury. 5.Fractures: Thesearedue to trauma,orsometimes occur without any injury in people with osteoporosis. 6. Spinal cord compression: This is unusual, but very worrisome and may be associated with weakness and loss of bowel/bladder control. Medication and Bed Rest. Most lower back pain sufferers try over the counter drugs and bed rest. However, most self remedies will not provide the relief that you need. In fact, bed rest is the wrong thing to do because it can weaken the spinal muscles further. Weakness in the spinal muscles is one of the main reasons for low back pain and puts you at risk for injuring your back with common activities such as lifting, bending or squatting. Most of us sit too much and this contributes to severe weakening of the back and torso muscles which are needed for a healthy back.

(continued from outside) There are many different back conditions, but here are a few common ones: 1. Lumbar or sacral radiculopathy: The result of pressure on a nerve exiting the spine. Pain, numbness and tingling can be felt down in different parts of the leg. 2. Sciatica: This comes from compression of the sciatic nerve by a muscle called the piriformis, deep in the buttock. Symptoms can radiate down the buttock and leg. 3. Spinal stenosis: This is a narrowing of the bony spinal canal which causes rubbing or pressure on nerves. Central canal stenosis is quite serious as it presses upon the spinal cord. 4. Lumbar sprain/strain: This is a common cause of low back pain due to injury of muscles and tendons. The rows of muscles that run up and down the sides


If you think that growing older automatically leads to back pain, here’s some great news; it doesn’t! Many people suffer from pain, yet, they still believe their aches and pains are a natural part of aging. They’re not. Back pain is primarily caused by four main factors: • Spinal muscle weakness • Poor muscle or joint movement • Poor posture • Lack of spinal or pelvic muscle coordination Treating the Cause of Your Back Pain The goal of our SPINE program is to find the root cause of your pain and correct it, not just treat the symptoms. By treating the root cause of the pain, you can achieve faster, long-lasting results. We provide the most advanced and effective treatments to each of our patients in a caring, friendly environment. Our highly trained and skilled physiotherapists use proven hands-on therapy techniques to help people of all ages become free of pain and get back to the activities they enjoy. If your back pain prevents you from standing for long periods, bending down to pick up objects, or getting up and down from the floor to play with your children or grandchildren it’s time to come to The Physiotherapy Center and restore your quality of life. Knowing the Right Expert to Help You Physiotherapists are medical musculoskeletal specialists, meaning we are the experts when it comes to the movement of the body and how the muscles, joints and skeletal structure work with one another.

Effective physiotherapy experts recognize that the best treatments are not modalities that depend solely on ultrasound, cold or heat therapy, but rather a skilled hands-on approach to examination and treatment. Studies have proven that manual therapy and specific exercises produce better and faster results than traditional exercise based therapy. Find out more about our programs by calling us today and discover how to relieve and reduce back pain.

Relieve Back Pain In Minutes Try this movement if you are experiencing back pain.

Healthy Recipe

Loosens Lower Back

STRAIGHT LEG RAISE While lying or sitting, raise up your leg with a straight knee. Keep the opposite knee bent with the foot planted to the ground. Repeat 6 times on both sides.

Salmon Burgers

• 1 cup red onion • 1/4 cup fresh basil • 1/4 tsp salt • 1/4 tsp black pepper • 1 pound salmon fillet

• 1 tbsp hot pepper sauce • 1 large egg white • Cooking spray • 8 slices focaccia, toasted

Combine first 5 ingredients in a large bowl. Combine hot pepper sauce and egg white in a small bowl; add egg white mixture to salmon mixture, stirring well to combine. Divide the mixture into 4 equal portions, shaping each into a 1/2-inch-thick patty. Heat a large nonstick skillet over medium- high heat. Coat pan with cooking spray. Add salmon patties, and cook 3 minutes on each side or until desired degree of doneness. Serve patties on toasted focaccia.

Call Today (345) 943-8700

Practice News

Refer A Friend

Care enough to share how physiotherapy helped you. Who do you know that could benefit from therapy? Send them our way, they will thank you and so will we. Refer a friend to our clinic and receive a FREE 1/2 Hour Therapeutic Massage . Get in the game and get the word out.

Cut out the card below and give it to someone you know who could benefit from physiotherapy.

Aches & Pains? We Offer FREE Screenings Helping You Get Back To Better Again!

CONGRATULATIONS, JILLIAN & JORDAN! WE ARE SO PROUD OF YOU! James and Faith Crooks’ daughter, Jillian Crooks, recently broke a 23-year CIASA swim record for the Girls 11-12 50-meter free with a time of 27.46 seconds. Overall she won 9 individual medals at the competition and a medal in the Mixed 11-12 200 Meter Free Relay (with Stefano Bonati, Alyson Belfonte, and Jake Alberga). Their son Jordan Crooks also made “B” times for Youth Olympics and Panam his age 15-17, 50 Freestyle event. Special thank you to our physiotherapists Ms. Vanessa Williams and Mr. Resean Reece who has worked with both Jillian and Jordan to help them to attain their goals.

25 Eclipse Drive, P. O. Box 10742 George Town, Grand Cayman, KY1-1007 Phone: (345) 943-8700



Attention Back Pain Sufferers! Do You Have Difficulty With Back Pain?

• Decrease your pain • Increase your strength • Increase your activity level We can help:

• Increase your flexibility • Improve your health • Get back to living

Mention or Bring in This Coupon Today For a FREE Back Pain Consultation

Call Today: (345) 943-8700

Offer valid for the first 25 people to schedule. Expires 07-31-18.

About To Have Hip Replacement Surgery?

The hip functions as a “ball-and-socket” joint. The top of the thigh (femur) bone (ball) fits into a part of the pelvis called the acetabulum (socket), allowing the joint to move smoothly in multiple directions. Total hip replacement is a surgical procedure that replaces the hip joint with artificial parts. Adults of any age can be considered for a hip replacement, although most are carried out on people between the ages of 60 and 80. A modern artificial hip joint is designed to last for at least 20 years. Most people experience a significant reduction in pain and improvement in their range of movement. Hip replacement surgery is usually necessary when the hip joint is worn or damaged to the extent that your mobility is reduced, and you experience pain even while resting. The most common reason for hip replacement surgery is osteoarthritis. Other conditions that can cause hip joint damage include: Rheumatoid arthritis, Hip fracture, Septic arthritis, Ankylosing spondylitis, Dysplasia, Avascular necrosis etc. Total hip arthroplasty is an orthopedic procedure that involves the surgical excision of the head and proximal neck of the femur and removal of the acetabular cartilage. A canal is created in the proximal medullary region of the femur, and a metal femoral prosthesis, composed of a stem and small-diameter head, is inserted into the femoral medullary canal. An acetabular component composed of a high-molecular- weight polyethylene articulating surface is inserted proximally into the enlarged acetabular space. To yield successful results, these total hip arthroplasty components must be fixed firmly to the bone, either with polymethylmethacrylate cement or, in more recent uncemented designs, by bony ingrowth into a porous coating on the implant, resulting in “biologic” fixation. Traditional hip replacement surgery involves making an incision on the side of the hip (lateral approach) or the back of the hip (posterior approach). Both techniques involve detachment of muscles and tendons from the hip to replace the joint. Detachment of these muscles may result in increased pain after surgery, and often prolongs the time to fully recover by months or even years. Failure of these muscles to heal after surgery may increase the risk of hip dislocation (the ball and socket separating), which is the leading cause of hip replacement failure. Hip precautions after surgery (no bending greater than 90 degrees, no crossing legs, no excessive rotation) are generally required for this reason. Minimally invasive techniques have reduced the incidence of complications and increased the speed of recovery enabling patient to be put on accelerated rehabilitation programs. Mini lateral approach with

Dr. Alwin Almeida with hip replacement surgery patient Mrs. Carole Sinclair from Jamaica.

the Gibson’s modification or the more recent Direct Anterior approach are examples of such techniques and are routinely used at Health City, Cayman Islands. Directanteriorhip replacement isaminimally invasivesurgical technique. This approach involves a 3 to 4-inch incision on the front of the hip that allows the joint to be replaced by moving muscles aside along their natural tissue planes, without detaching any tendons. This approach often results in quicker recovery, less pain, and more normal function after hip replacement. Because the tendons aren’t detached from the hip during direct anterior hip replacement, hip precautions are typically not necessary. This allows patients to return to normal daily activities shortly after surgery with a reduced risk of dislocation.

Contributed by: - Dr. Alwin S. A. Almeida, MBBS, MS (Ortho) Senior Consultant, Orthopedic Surgeon, and Head of Department of Orthopedics

For more information please contact us at: Health City Cayman Islands 1283, Seaview road, P.O. Box No. 10590 Grand Cayman KY1-1005, Cayman Islands T: +1(345) 640-4040 C: +1(345) 525-2052

25 Eclipse Drive, P. O. Box 10742 George Town, Grand Cayman, KY1-1007

Phone : (345) 943-8700 Fax : (345) 943-8701

4 EASY TRICKS TO RELIEVE A HEADACHE 1. Regular exercise. Migraine patients are at a slightly increased risk of stroke, and lack of exercise is a risk factor for cardiovascular and cerebrovascular disease. Vigorous, regular exercise can help reduce these risks. If you suffer from migraines on a regular basis, consider making one small switch to your diet: more nuts. Nuts can work as both a pain reliever and a preventative method to stave off future onsets. Many varieties of nuts contain an important “ingredient” called salicin. Salicin is a pain blocking agent that’s present in many of today’s medications. Though you may want to reach for an over the counter pain reliever when migraines strike, choose nuts—they offer the same important ingredients.

2. Adequate sleep. Getting enough sleep on a regular basis is part of proper migraine maintenance that should be practiced to keep your headaches to a minimum. Sleep also includes darkness. Light, especially bright light, can cause an increase in migraine headache symptoms and can prolong a headache. 3. Balanced diet. Eating regular meals, avoiding foods that trigger headaches, and staying hydrated will also help reduce the pain and frequency of your headaches.

4. Work on improving your posture. Keep your shoulders back, and have your head in a neutral position at all times. Always avoid standing or sitting in a hunched over position. This technique will help prevent headaches most frequently in a work environment.

25 Eclipse Drive, P. O. Box 10742 George Town, Grand Cayman, KY1-1007

Phone : (345) 943-8700 Fax : (345) 943-8701

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