Conditions We Treat – Neck & Back

Thoracic Outlet/Inlet Syndrome:

What is Thoracic Outlet/Inlet Syndrome?

Thoracic Outlet Syndrome is a condition when blood vessels or nerves leaving the thorax get compressed. The subclavian artery, the subclavian vein, and the lower brachial plexus roots are all affected. They are compressed between the front and middle scalene neck muscles, between the first rib and collarbone, and under the shoulder blade’s coracoid process. This compression causes disturbances in normal nerve functioning and circulation. Vascular Thoracic Outlet Syndrome affects two percent of the population, and Neurological Thoracic Outlet Syndrome affects 98 percent of the population. Thoracic Inlet Syndrome is another type of thoracic syndrome as it clogs the passage of the nerves, veins, and arteries from the root of the neck to the armpit.

How can Thoracic Outlet/Inlet Syndrome be treated?

  • Treatments include: 
    • Acupuncture
    • ART and IASTM
    • Chiropractic and massage therapy 
    • Neck muscle stretching and strengthening 
    • Postural muscle strengthening 
    • Dry needling
    • Interferential current
    • Laser therapy
    • Manual therapy 
    • TENS

Sciatica

What is sciatica?

Sciatica is pain and discomfort along the sciatic nerve from irritation or compression. The sciatic nerve travels from your lower back through the buttocks and hips and down the back of each leg. The sciatic nerve is the longest nerve in your body and runs from the back of the pelvis down to the feet. The most common cause of sciatica is from a slipped disc. However, other spinal conditions may also play a major role in causing sciatica. Examples of these spinal conditions include: spinal injury, spinal tumour, or a spinal infection.

What are the symptoms of sciatica?

The symptoms of sciatica are commonly exclusive to the legs and buttocks. These symptoms of usually:

 

  • Numbness
  • Pain
  • Weakness of the calf muscles
  • Tingling

 

How is sciatica treated?

Common treatments of sciatica include: 

 

  • Dry needling
  • Acupuncture
  • Nerve mobilisation
  • Interferential current and TENS to reduce pain
  • Laser therapy
  • Manual therapy
  • Rehabilitation exercises
  • Chiropractic and massage therapy
  • Ultrasound

 

Sacroiliac Joint Pain

What is Sacroiliac joint pain?

Sacroiliac Joints (SIJ) pain and dysfunction affects the lower spine and the pelvis. To form the SI joints, the right tailbone connects with the left sides of the pelvic bones. The SI joints need to form a rigid connection to provide support while also providing enough flexibility to allow for movement. Abnormal or excessive movement of the joints leads to Sacroiliac Joint Dysfunction causing pain in the lower back, buttock, hip, and sciatic pain. The two primary types of SI joint pain are hypermobility or instability and hypermobility or stiffness.

The treatment goal is to restore full function of the joints while decreasing or eliminating any pain. Our practitioners utilise several different types of techniques and therapies to treat the condition and also recommend exercises for patients to perform at home.

How can Sacroiliac joint pain be treated?

Common Treatment Options include:

  • Rehabilitation exercises
  • Massage therapy
  • Hydrotherapy
  • TENS
  • Manual therapy
  • Chiropractic and massage therapy
  • Acupuncture
  • Bracing & support

Spinal Stenosis

What is spinal stenosis?

Spinal stenosis is when the foramen and spinal canal are narrowed. This can put pressure and compress the nerves that run through the spine. Spinal stenosis is due to the slow, degenerative ageing process of the spine and occasionally due to an injury, causing it to congeal and calcify.

What causes Spinal Stenosis?

Overgrowth of Bone

  • Bone spurs may be formed in the spinal canal due to wear-and-tear damage from osteoarthritis on spinal bones. Paget’s disease can also lead to bone overgrowth in the spine. 

 

Herniated Discs

  • Cracks in the exterior of discs can lead to the inner substance escaping and pressing on the spinal cord or nerves.

 

Thickened Ligaments

  • Over time, ligaments that hold spinal bones together can stiffen and thicken and expand into the spinal canal. 

 

Tumours

  • Tumours can form in the spinal cord but are uncommon and identifiable on MRI’s or CT of the spine.

 

Spinal Injuries

  • Displaced bone from spinal fractures may damage tissue in the spinal canal. Spinal cords and/or nerves can also be compressed due to swelling of nearby tissue from injuries or back surgery.

 

How can Spinal Stenosis be treated?

 

Treatments include:

  • Rehabilitation exercises 
  • ART and IASTM 
  • Dry needling 
  • Manual therapy 
  • Chiropractic and massage therapy 
  • Acupuncture 
  • Laser therapy 
  • Interferential current & TENS for pain reduction 
  • Ultrasound 

Degenerative Disc Disease (DDD)

What is DDD?

Degenerative disc disease (DDD) is a condition where damaged spinal discs cause pain and difficulty with spinal movements. Spinal discs act like cushioning and shock absorbers between the bones of the spine and allow the back to be flexible. Due to the low blood supply discs receive, injuries will not repair themselves and further degeneration will set in over 20 to 30 years.

What does DDD feel like?

Symptoms include pain in the neck and/or back when walking, and may extend to arms and legs. Numbness and tingling in the extremities and buttocks may also be experienced. Pain and other symptoms may come and go as well as vary in severity.

 

Causes include:

  • Loss of fluid in the discs
    • Spinal discs dry with age and their ability to absorb shocks lessen
  • Small tears of the disc’s outer layer
    • Daily activities and sports wear down the discs
  • Injuries which cause soreness, swelling, and instability

How can DDD be treated?

Common treatment options include:

  • Interferential current (IFC) for pain
  • TENS
  • Chiropractic and massage therapy
  • Laser therapy
  • Rehabilitation exercises
  • Acupuncture
  • Ultrasound
  • Manual therapy
  • Surgical intervention
  • Dry needling

Herniated Disc

What is a herniated disc?

A herniated disc is when the nucleus pulposus, or the shock absorber, of a spinal disc is pushed out of the exterior annulus fibrosis through a tear or rupture. It is sometimes referred to as a slipped disc or ruptured disc as well. 

How does a herniated disc feel?

Herniated discs occur in the lower back or neck. Depending where the disc is, leg or arm pain, weakness, or numbness may be experienced. Some people do not experience any symptoms with a herniated disc. Seek medical attention if neck or back pain travels down your arm or leg, or if numbness, tingling, or weakness is felt.

 

Some factors that can cause neck and back herniated discs include:

  • Injuries, such as whiplash
  • Degenerative Disc Disease (DDD) 
  • Genetics
  • Overuse syndrome
  • Poor posture
  • A physically demanding job

How is a herniated disc treated or managed?

Common treatment options include:

  • Interferential current
  • TENS
  • Chiropractic and massage therapy
  • Laser therapy
  • Rehabilitation exercises
  • Acupuncture
  • Ultrasound
  • Manual therapy
  • Dry needling

Low Back Pain

What is low back pain?

Lower back pain is one of the most common complaints discussed in a healthcare setting. Lower back pain is a condition that at least around 80 percent of the human population will develop at some point in their life. Back pain can arise from many different causes; however common factors include heavy lifting, acute injury, repetitive sprains, poor posture, and prolonged sitting that causes excessive strain on the spine and surrounding muscles. 

 

Other common causes of lower back pain include:

 

  • Muscle strain & ligament sprains are usually the cause of sudden and acute back pain
  • Arthritis which can be the cause of chronic back pain and can cause stenosis Bulging (slipped) or herniated disc
  • Sciatica
  • Postural and skeletal irregularities such as scoliosis
  • A broken vertebra in the spine usually due to Osteoporosis, falls and accidents
  • Inflammation of bones and other structures
  • Infection of the spine
  • In rare cases, serious medical condition such as kidney disease or cancer can be the cause of back pain

What are the symptoms of low back pain?

The symptoms of back pain can range from the aching of muscles to a burning or stabbing sensation. In severe cases the pain may spread down your leg and worsen with simple movements such as bending, lifting, standing and walking.

    Other symptoms of low back pain may include other forms of limited mobility, difficulty walking straight, and altered gait. 

How is low back pain treated?

Low back pain is commonly treated with a combination of therapies. These treatments may include a combination of: massage, manual therapy, and a progressive exercise programs intertwined with education. Acupuncture and dry needling may be involved to control the severity of pain.

 

Other treatments of back pain may include:

 

  • Laser therapy
  • Pilates & Yoga
  • Acupuncture
  • TENS
  • Rehabilitation exercises
  • ART & IASTM
  • Interferential Current
  • Dry needling
  • Chiropractic & massage therapy

Whiplash

What is whiplash?

Whiplash is a neck and upper back injury caused by strong and sudden back and forth movement of the neck, often from a car accident or fall. This impacts the soft tissues, leading to muscle strain and ligament sprains. Nerve damage may also occur, resulting in pain in arms and hands. 

 

What does whiplash feel like?

Whiplash can affect more than just neck muscles, including muscles in the head, jaw, shoulders, arms, and chest. 

Common symptoms may include:

  • Headache 
  • Jaw pain
  • Dizziness
  • Tingling 
  • Numbness
  • Muscle weakness
  • Neck pain and stiffness 
  • Muscle spasms
  • Pain in arms and shoulders  

How can whiplash be treated?

Treatments include:

  • Stretching
  • Mobility exercise 
  • Acupuncture 
  • Dry needling 
  • ART
  • Interferential current
  • Laser therapy 
  • Manual therapy 
  • Rehabilitation exercises 
  • TENS
  • Chiropractic & massage therapy 
  • Ultrasound 

Neck Pain

What is neck pain?

Neck pain ranges from dull muscle aches to sharp pains in the neck. Neck pain restrains the movement of the neck and can lead to other conditions such as headaches and migraines. The main cause of neck pain is from muscle stiffness, trigger points, and/or the locking of spinal joints. This imbalance causes spasms of muscles in the neck and shoulders, further contributing to pain and discomfort.

Neck pain can be either chronic or acute. Chronic neck pain is caused by muscle weakness and poor posture whereas acute neck pain is caused by injury, overuse, whiplash, nerve impingement, or inflammation.

 

Causes of neck pain include:

 

  • Muscle sprains, strains
  • Whiplash injuries due to a car accident, fall or head trauma
  • Overuse injuries such as repetitive neck movement 
  • Poor posture causing muscle spasm or active trigger points
  • Rigidness of thoracic spine
  • Facet joint inflammation
  • Degenerative disc disease
  • Nerve impingement
  • Herniated or bulging discs
  • Fractures

What are the symptoms of neck pain?

Symptoms of neck pain include:

 

  • Pain that’s often worsened by holding your head in one place for a prolonged period
  • Muscle tightness & spasms
  • Decreased head mobility
  • Headaches/migraines

How is neck pain treated?

The most efficient way to treat neck pain is by finding the cause of the condition. For example, Myofascial neck pain; neck pain due to muscles and other soft tissue of the neck area, is resolved through a combination of chiropractic, physiotherapy, massage therapy and acupuncture to relieve pain. 

Treatment programs that are commonly utilised include strengthening and mobility exercises and patient education. Neck pain is usually resolved with a myriad of different treatments by chiropractors and physiotherapists with a combination of exercises, manual techniques, and education.

 

Common neck pain treatments include:

 

  • Manual therapy by a physiotherapist, chiropractor or osteopathic practitioner to improve neck and upper back joint mobility
  • Acupuncture or dry needling to treat pain and inflammation
  • Massage therapy to release muscle tension, improve blood circulation and mobility
  • Cold or heat
  • Laser Therapy, Ultrasound Therapy, Shock Wave Therapy in different stages to assist in tissue healing
  • Rehabilitation exercises focused on next stabilisation and postural muscle retraining 
  • TENS, and IFC modalities may be used to manage pain

Spondylolisthesis

What is spondylolisthesis?

    Spondylolisthesis is a condition where a vertebral bone slides forward over the bone below it. Spondylolisthesis commonly occurs from a small joint disturbance, altering the way the bones in the back line up. This condition can occur in individuals of all ages. Children and teenagers may suffer from spondylolisthesis who engage in activities that may stress the bones in the backs and adults may develop the condition from the natural wearing and tearing of the bones. 

    Spondylolisthesis commonly occurs in the lower back area. As a result spondylolisthesis can cause the pinching of nerve roots or spinal cords getting pinched, resulting in back pain.

What are the symptoms of spondylolisthesis?

Symptoms of spondylolisthesis may include:

 

  • Back, leg or buttock pain that intensifies while bending
  • Numbness/weakness in the legs
  • Loss of control over bladder or bowels 
  • Pain radiating from the lower back down the leg
  • Difficulty in walking

 

How is spondylolisthesis treated?

Treatments of spondylolisthesis may include:

 

  • ART and IASTM
  • Manual therapy
  • Rehabilitation exercises
  • Acupuncture & dry needling for pain
  • Ultrasound
  • Laser Therapy
  • Interferential Current
  • TENS
  • Chiropractic & Massage therapy

Piriformis Syndrome

What is piriformis syndrome?

Piriformis syndrome is caused when the piriformis muscle in the buttocks compresses the sciatic nerve. These compressions occur when the piriformis muscle spasms or clenches. The piriformis muscle can also compress the sciatic nerves due to activities such as climbing stairs, running, or for sitting in a prolonged period. 

What are the symptoms of piriformis syndrome?

Piriformis syndrome is difficult to identify because many of its symptoms are commonly shared with other back problems. However some specific identifiable symptoms may include: 

 

  • Pain, numbness or tingling in the buttocks (this is usually how the syndrome begins)
  • Pain further extending along the sciatic nerve (down the back of the thigh, calf, and foot)
  • Restricted range of motion of the hip joint

How is piriformis syndrome treated?

Common treatments of piriformis syndrome may include:

 

  • ART and IASTM
  • Manual therapy
  • Dry Needling
  • Rehabilitation exercises
  • Acupuncture
  • Ultrasound
  • Laser Therapy
  • Interferential Current
  • TENS
  • Chiropractic, ART & Massage therapy
  • Ice & heat

Temporomandibular Joint (TMJ) Disorders

What are temporomandibular joint disorders?

Temporomandibular joint disorders are pain caused by the inflammation or irritation of muscles or ligaments around jaw joints. TMJ occurs around age 20 to 40 and is more common in women. 

 

Causes include:

  • Dental procedures
  • Motor vehicle accidents (MVA)
  • Teeth grinding/clenching
  • Dislocation of the disc between the ball and socket joint
  • Arthritis in the temporomandibular joint
  • Stress
  • Acute trauma
  • An improper bite

What does a TMJ disorder feel like?

Symptoms include:

  • Jaw pain, headaches, toothaches, and earaches
  • Pain in the neck or shoulders
  • Difficulty opening mouth wide
  • Jaws that “lock” in the open or closed-mouth position
  • Clicking, popping, or grating sounds in the jaw joint when opening or closing your mouth
  • Difficulty chewing
  • Tinnitus, or ringing in your ears
  • Changes in teeth alignment
  • Swelling on the side of your face
  • Constant headache 
  • Dizziness associated with headache 

How can a TMJ disorder be treated?

Non surgical treatments include:

 

  • Hot or cold packs
  • Jaw, head, and neck exercises 
  • Breathing exercises, relaxation, meditation 
  • Posture correction 
  • Massage therapy 
  • Physiotherapy 
  • Stretching exercises 
  • Eating soft foods as they are easier on the jaw
  • Medications
  • Wearing a splint or a nightguard
  • TENS
  • Acupuncture
  • Ultrasound

Cervicogenic Headaches

What is Cervicogenic headaches?

Cervicogenic headaches are a type of headache that originates from issues in the neck. While the pain is felt in the head, its source is in the neck. Certain movements or prolonged positions can result in strain or compression affecting the neck’s joints, muscles, ligaments, discs, and/or nerves. Consequently, this can manifest as a headache in the head.

The reason behind upper neck dysfunction leading to headaches is due to the connection between the upper neck spinal nerves and the trigeminal nerve, which governs sensation in areas such as the head, forehead, jawline, back of the eyes, and ears. The communication between these nerves leads to cervicogenic headaches.

Cervicogenic headaches can be triggered by any activity or circumstance that places excessive stress or strain on the upper neck. This could occur due to a single traumatic incident, such as whiplash or blunt trauma, or gradually accumulate over time as a result of maintaining poor postures, like hunching over a computer.

How can Cervicogenic Headaches be treated?

  • Physiotherapy: exercises and stretches to improve neck strength, flexibility, and posture
  • Massage Therapy: professional massage therapy can target tight muscles in the neck and shoulders, reducing tension and pain.
  • Chiropractic Care: spinal adjustments to improve spinal alignment and relieve neck pain
  • Osteopathy: soft tissue manipulation and joint mobilization to improve the alignment and function of the cervical spine and release tension
  • Acupuncture: improve circulation and reduce muscle tension

Cervical Postural Syndrome

Cervical postural syndrome is a condition where an individual maintains improper neck posture, often occurring concurrently with incorrect shoulder, upper back, and middle back postures. Such poor posture can result in muscular imbalances and exert excessive pressure on specific soft tissues, joints, and bones in the head, neck, and upper back. Over time, this can lead to tissue damage and the transmission of pain signals to alert the body to this dysfunction. Those who spend extended periods in a single position or posture are most susceptible to developing cervical postural syndromes. Common causes include spending prolonged periods looking down at a phone or computer screen. Cervical postural syndrome is a consequence of enduring poor postures for extended durations.

How can Cervical Postural Syndrome be treated?

  • Physiotherapy: exercises and stretches to improve posture, strengthen muscles, and increase flexibility
  • Chiropractor: adjustments and correct spinal misalignments
  • Osteopathy: manipulate and align the musculoskeletal system

Stenosis

What is stenosis​؟

Spinal stenosis is a condition in which the spinal canal or the area through which a nerve root emerges from the spinal column is constricted. This narrowing can occur along any segment of the spine. When the constriction is severe, it can lead to the compression of nerve roots and the spinal cord, thereby impacting the functioning of the nervous system. This compression can result in a range of symptoms, including pain and tingling sensations extending into the upper extremities and/or all four limbs.

Common symptoms of spinal stenosis may include:

  • Nerve Pain: Individuals may experience localized or radiating pain, often described as a sharp or shooting sensation. The pain can occur in the back, neck, and radiate down the arms or legs.
  • Weakness: Muscle weakness in the limbs may develop due to compromised nerve function. This can affect strength and coordination.
  • Numbness: Numbness or a “pins and needles” sensation may be felt in the affected extremities.
  • Reduced Movement: Stenosis can limit mobility and flexibility in the spine and extremities, making it challenging to perform daily activities.
  • Changes in Walking: Some individuals may notice changes in their gait or walking pattern, such as instability or a tendency to shuffle the feet.

How can Stenosis be treated?

  • Osteopathy: manual techniques to alleviate pain and discomfort associated with stenosis
  • Chiropractic adjustments to address spinal misalignments that may contribute to stenosis-related pain and discomfort
  • Physiotherapy: manual techniques and modalities to reduce muscle tension and improve mobility
  •  

Multidirectional Instability (MDI)

Multidirectional instability (MDI) of the shoulder is a medical condition characterized by excessive and abnormal mobility of the shoulder joint in multiple directions. Unlike typical shoulder stability, where the joint is primarily designed for mobility, individuals with MDI experience a heightened degree of joint laxity, making their shoulder vulnerable to dislocation or subluxation (partial dislocation) in various directions. Over time, the affected shoulder may become weaker, making it challenging to perform everyday tasks.

Treatment

  • Physiotherapist: Non-surgical treatment options for MDI often include physical therapy, which focuses on strengthening the shoulder muscles and improving joint stability through specific exercises.

Scoliosis

What is Scoliosis?

Scoliosis is a musculoskeletal condition characterized by an abnormal curvature of the spine. This curvature can develop during growth spurts before puberty or as a result of various factors, including neuromuscular conditions, congenital spine abnormalities, or injuries. Common symptoms include uneven shoulders or hips, a tilted head, and a protruding shoulder blade. Treatment approaches range from observation and physical therapy for mild cases to bracing or surgical intervention for more severe curvature. Early detection and intervention are crucial in managing scoliosis and preventing potential complications. The treatment for scoliosis depends on the severity of the curvature, the age of the individual, and other factors.

How to Treat Scoliosis?

  • Chiropractor: Chiropractors may use spinal adjustments and manipulations to improve joint mobility and alignment. While chiropractic care cannot correct the curvature, it may offer relief from associated discomfort and contribute to overall spinal health.
  • Osteopathy: Gentle manipulations to improve spinal alignment, address musculoskeletal imbalances, and reduce tension in the surrounding tissues, contributing to enhanced mobility and comfort.
  • Naturopathy: Naturopaths may recommend dietary changes, nutritional supplements, and lifestyle modifications to support spinal health and address any underlying factors contributing to scoliosis symptoms.
  • Acupuncture: While not a direct treatment for the curvature, acupuncture may help manage pain associated with scoliosis, reduce muscle tension, and promote relaxation, contributing to an improved sense of well-being.

Facet Joint Dysfunction

What is Facet Joint Dysfunction
?

Facet joint dysfunction is a condition that affects the small joints located between each vertebra in the spine, known as facet joints. These joints facilitate spinal movement and stability, allowing for flexibility and support. Facet joint dysfunction occurs when these joints become inflamed or irritated, often due to factors such as degeneration, injury, or mechanical stress. The resulting pain is typically localized to the affected facet joint area and can radiate to the surrounding tissues. Common symptoms include stiffness, decreased range of motion, and discomfort during certain movements. 

How to Treat Facet Joint Dysfunction?

  • Physiotherapy: Physiotherapists can design a personalized exercise program to address muscle imbalances, enhance flexibility, and strengthen supportive structures. Manual therapy techniques may also be employed to improve joint mobility and reduce inflammation in the affected facet joints.
  • Osteopathy: Osteopathic practitioners can use hands-on techniques to assess and treat restrictions in the musculoskeletal system. For facet joint dysfunction, osteopathy may focus on improving overall spinal alignment, relieving tension in surrounding tissues, and enhancing joint mobility.
  • Chiropractors: Chiropractors may perform adjustments to the spine to improve joint function and reduce nerve irritation. This can contribute to alleviating pain associated with facet joint dysfunction and improving overall spinal health.
  • Acupuncture: For facet joint dysfunction, acupuncture may help manage pain, reduce muscle tension, and promote relaxation, offering a holistic approach to symptom relief.

Spinal Stenosis

What is Spinal Stenosis?

Spinal stenosis is a condition characterized by the narrowing of the spaces within the spine, leading to increased pressure on the spinal cord and nerves. This narrowing can occur in the spinal canal (central stenosis) or in the spaces where nerves exit the spine (foraminal or lateral stenosis). Common causes include aging, degenerative changes in the spine, herniated discs, thickening of ligaments, or abnormal bone growth. As the spaces within the spine diminish, individuals with spinal stenosis may experience symptoms such as pain, numbness, tingling, or weakness in the affected areas. The condition commonly affects the lower back (lumbar stenosis) or the neck (cervical stenosis). Symptoms may worsen with activities like walking or standing but may improve with rest or spinal flexion.

How to Treat Spinal Stenosis?

  • Physiotherapy: Physiotherapists can design exercises focused on strengthening the supportive muscles, improving flexibility, and enhancing overall spinal stability. Manual therapy techniques may be employed to address joint restrictions and optimize movement in the affected spinal segments.
  • Osteopathy: Osteopathic practitioners can use hands-on techniques to assess and treat musculoskeletal imbalances, potentially improving overall spinal alignment and reducing tension in the affected area.
  • Chiropractic: Chiropractors may perform adjustments to the spine to enhance joint function and reduce nerve irritation. This can contribute to pain relief and improved overall spinal health.
  • Acupuncture: Acupuncture may help manage pain, reduce muscle tension, and contribute to an improved sense of well-being.
  • Massage Therapy: Massage can help alleviate muscle tension, reduce pain, and enhance overall relaxation, providing relief from discomfort associated with spinal stenosis.
  • Naturopathy: Naturopaths may offer guidance on an anti-inflammatory diet and recommend nutritional supplements that support joint health and reduce inflammation. Certain herbal supplements may have anti-inflammatory properties and could be recommended to help manage symptoms. They can also use manual techniques to treat discomfort and reduce symptoms.

Disc Bulges

What is Disc Bulges?

A lumbar disc bulge refers to a condition where the outer layer of a disc in the lower back (lumbar spine) protrudes beyond its normal boundaries. Intervertebral discs act as cushions between the vertebrae, providing flexibility and shock absorption. A bulging disc occurs when the tough outer layer weakens or wears down, causing the inner disc material to press against the outer layer. Lumbar disc bulges are common and can result from aging, wear and tear, or injury. While many people may have disc bulges without experiencing symptoms, others may feel localized pain, numbness, or tingling in the lower back, buttocks, or legs. In some cases, a bulging disc may compress nearby nerves, leading to radiating pain or weakness. 

How to Treat Lumbar Disc Bulges?

  • Physiotherapy: Physiotherapists can design a tailored exercise program to strengthen core muscles, improve flexibility, and promote overall spinal stability. Manual therapy techniques may be employed to address joint restrictions and optimize movement in the lumbar spine.
  • Chiropractors: Chiropractors can perform spinal adjustments to improve joint function, potentially reducing pressure on the affected disc and alleviating symptoms.
  • Osteopathy: Osteopathic practitioners can use hands-on techniques to assess and treat imbalances in the musculoskeletal system, promoting overall spinal health.
  • Acupuncture: help manage pain, reduce muscle tension, and contribute to an improved sense of well-being.