The pinched nerve theory suggests that muscular or bony obstructions catching a nerve cause pain during movement in the affected area. It also suggests that by removing those obstructions, the pinched nerve would be freed if the condition became a perpetual issue.
Today, many top neurophysiologists agree that this is an outdated theory. They suggest that successful manipulation of the joint is what takes away pain. The pain is reduced by stimulation of nerve fibers, and this reduces how excitable the cells of the CNS are.
Pain Memory: The New Approach
When it comes to back discomfort. However, about 85 percent of back pain sufferers are not properly treated.
Researchers suggested that continuing movement through a rehabilitation program was an optimal solution for back pain. They pointed out that long periods of rest have often been connected to continue a movement regimen that strengthens the back instead of resting and weakening it.
Movement Program Considerations
Researchers were careful to avoid. Movement programs that include dynamic neuromuscular stabilization and a computer-assisted rehabilitative environment for proper walking are optimal for treating compressed, pinched and inflamed nerves in the back.
When pain is triggered in the body, it causes an electrical impulse in the nerve fibers. This travels to chronic pain.
The key tors of the individual.
Therapy Plans
People who injure their backs should contact a dynamic neuromuscular rehabilitation specialist for best results. Rehabilitation programs that focus on natural movement to overall health than other options.
About the Author
Dr. Lev Kalika is a world-recognized expert in musculoskeletal ultrasonography, with 20+ years of clinical experience in advanced rehabilitative medicine. In addition to operating his clinical practice in Manhattan, he regularly publishes peer-reviewed research on ultrasound-guided therapies and procedures.
Dr. Kalika is an esteemed member of the International Society for Medical Shockwave Treatment ((SMST), and the only clinician in New York certified by the ISMST to perform extracorporeal shockwave therapy. He is also an active member of the American Institute of Ultrasound in Medicine (AIUM), and has developed his own unique approach to dynamic functional and fascial ultrasonography.
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)
Complete tear of rectus femoris with large hematoma (blood)
Separation of muscle ends due to tear elicited on dynamic sonography examination
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