Posture | Embodiment of what we are doing and thinking Addressing Neck and Back Pain Through Improved Posture

For people with neck pain and back pain, posture can make a big difference. Some positions will help to ease the pain, but bad posture can make the pain worse. If you experience neck pain or back pain, it is important to consult with a professional on treatment as soon as possible. Early consultation can help to prevent permanent damage. Mood, especially stress, has a strong influence on body positions. Bent shoulders, hunched back and tight neck muscles are all part of a typical stress posturing, which will make musculoskeletal pain worse.

Both position and cognitive/emotional state are important in the treatment of musculoskeletal pain. Positive thinking can shift stress posturing into a more neutral posture, with a straight spine and relaxed neck muscles. This is a much more healthy position for your body, and will help to lessen pain.

A healthy amount of exercise is also essential for addressing pain due to incorrect posture. Motor involvement and moving the joints is especially important for people who sit at a desk all day. A healthy lifestyle with plenty of exercise is vital for long-term pain relief. Moving the muscles and the joints releases the tension that builds up from chronic stress and maintaining a chair posture at work. Physical activity not only encourages a better body position throughout the day, but it trigger the release of a healthy dose of endorphins, which are natural painkillers.


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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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