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Physiotherapy Treatments Explained: Ultrasound Therapy

Ultrasound therapy is a treatment used by physical therapists or occupational therapists to relieve pain and to promote tissue healing. While ultrasound therapy is not effective for all chronic pain conditions, it may help reduce your pain if you have any of the following:

Osteoarthritis
Myofascial pain
Bursitis
Carpal tunnel syndrome
Pain caused by scar tissue
Phantom limb pain
Sprains and strains

“Dear Mark,   I have a dilemma. I have a worn-out back, actrosis, edema, degeneration and 2 bulges l4-l5 and l5-S1. No nerve damage according to EMG and no entrapment according to MRI. Occasionally loss of feeling right toes, right leg and / or right buttock. They say it is radicular or something. Not treatable. Now I want to do some exercise myself despite the pain The pain clinic recommends Mensendieck / Cesar exercise therapy and stop everything else.

The physical therapist and manual therapist I go to in recommend medical fitness. The neurologist says that both are not scientifically substantiated. With exercise therapy I have to stick to the schedule they indicated, said the pain clinic and I am not allowed to garden. However, this is impossible since I have a 1300 m2 garden. So I tend to opt for medical fitness. But I’m unsure. Can you advise me?”

Hi Marco,

Excellent question and very understandable that there is some confusion when two different specialists give you advice which is directly opposite.
I think I can definitely get you started, let’s take a look at the points step by step.

MRI

In my opinion, the results of your MRI are promising. No nerve damage is the most determining factor. Things like degeneration and bulges sound scary, but nowadays we know that they are very common, even with people without complaints.
In the 40-50 age group, 68-80% of the population has this! And those are people without complaints, so they are not even aware of it! These factors therefore do not have to pose any restrictions at all.

Medical Fitness

I agree with your Physical Therapist in this area. Exercise programs that have been compiled with care generally have a tremendous influence on the complaints picture. It is important to find a therapist with a sports background who can look closely at the movements that are required during gardening. It would be even more ideal if he / she can drop by to see the garden and get an idea of ​​how you are moving there.
Once this is clear, the necessary movements can be simplified to a level where the practice does not cause any complaints. From this point on, the program will be adapted to more and more resemble the activities during gardening. With good guidance, this should be all right.

During the build-up period I would recommend getting help for the garden. This can be a salaried person, but there are often also interns or volunteers who are happy to lend a hand. This way you can temporarily relinquish the difficult things yourself and for someone else this can be a very valuable learning period!

I hope this helps. If you cannot find anyone in the area, it is possible to request online guidance from us.

Kind regards,

Mark Chen

A friend of mine, a very good golfer, has a lot of lower back pain (facet joints) as a result of playing and training a lot.

Manual therapy increases the symptoms. Is treatment on a traction table a possible solution?

Mark Chen, Physiotherapist:

Thank you for your question.
I personally do not consider a traction table as a ‘solution’. It can, however, provide a good relief of the discomfort and can therefore help as a way to start the recovery.
Traction works by relieving pressure on the facet joints. It ‘pulls’ the vertebrae ‘apart’ and gives space, so to say.
This can certainly provide some relief, once it has been determined that pressure, or ‘compression’, plays a significant role in causing the symptoms.

So it’s mainly a matter of trying. If there is no clear change in symptoms after 3-4 times, I would consider another method. It’s also worth noting, that it is fairly easy to create traction on the lower back yourself. For example, you can hang on a horizontal bar or use a Gym ball and lie down on it face down.

With both methods it is important that you fully relax the muscles.

Finally, I would advise him to have a good look at the mobility of the spine. Golf is, after all, a fairly one-sided sport that therefore loads the body (and especially the hips and spine) in an unbalanced way. With a view to the long duration, it is certainly advisable to follow an exercise program that keeps and maintains a muscular balance on the spinal system through flexibility and stability training.

I can help with that via online guidance, but there are of course plenty of Physiotherapists / Personal trainers who can help with that!

Hopefully this will help your friend!

Physio-Fitness is a way for you to work on your physical discomfort or injury under supervision of a professional .

After a personal consultation and assessment , the therapist will design and instruct a corrective exercise program for you.
During the Physio-Fitness classes, you will be able to exercise and get instant feed-back and answers to your questions.

This class is perfect for:

  • Posture correction (anybody with an office job)
  • (chronic) Low back/ hip / shoulder pain
  • When you have tried any sort of therapy except training
  • When you find it difficult to create the time to do your exercises at home
  • If you want to get started with fitness, but have some weak points to work on


    Currently, the class is on Monday 12- 1 PM.
  • Please note the maximum attendance is 4 pax per class (currently 3 attendees)
  • if you don’t require the full hour, coming in late or leaving early is fine
  • Class is only available when you have a program designed for you
  • Monthly Fee (1x pw basis) 60$
  • Drop- in 20$

You can go here to make an appointment for a (free) Assessment