OC physiotherapy Ourania Chatziioannou

Η Παγκόσμια Ημέρα Φυσικοθεραπείας το 2023 είναι αφιερωμένη στη διαχείριση της Αρθρίτιδας και σε κάποιες μορφές φλεγμονώδους Αρθρίτιδας όπως είναι η Ρευματοειδής Αρθρίτιδας και η Αξονική Σπονδυλοαρθρίτιδα.

https://www.psf.org.gr/psf-news-8219.htm...

Καλή Ανάσταση και καλό Πάσχα με Υγεία!!

Diagnosis of sciatica 📌
https://pubmed.ncbi.nlm.nih.gov/31744805/

👉 Sciatica is largely a clinical diagnosis based on the person’s symptoms and findings on examination. A history of leg pain worse than back pain or pain below the knee should raise suspicion of sciatica. Inquire about the onset and distribution of pain, and associated symptoms such as tingling sensation, numbness, or muscle weakness in the legs. https://pubmed.ncbi.nlm.nih.gov/31744805/

👉There is no specific test for sciatica but a combination of positive findings on examination increases the likelihood. https://pubmed.ncbi.nlm.nih.gov/29621243/
The figure below shows examination for radiculopathy in those patients where sciatica is suspected. A recent cohort study proposed clinical criteria of unilateral leg pain, monoradicular distribution of pain, positive straight leg raise test at

Χρόνια Πολλά και Καλές Γιορτές...🎅🎅🎅🎅

Cauda Equina Syndrome (CES) 🤓

📍 The spinal cord is the continuation of the medulla oblongata, which ends at the medullary cone. A bundle of spinal nerves and spinal nerve roots begins from the medullary cone and forms the cauda equina. Specifically, the cauda equina consists of the second through fifth lumbar nerve pairs, all of the five sacral nerve pairs and the coccygeal nerve. https://pubmed.ncbi.nlm.nih.gov/19104682/, https://pubmed.ncbi.nlm.nih.gov/15202874/

👉 One of the most common disorders of the cauda equina is presented as CES. Cauda equina syndrome is a rare and serious neurological disease due to the pressure of the cauda equina. https://pubmed.ncbi.nlm.nih.gov/23238848/, https://pubmed.ncbi.nlm.nih.gov/21404036/, https://pubmed.ncbi.nlm.nih.gov/24240024/, https://pubmed.ncbi.nlm.nih.gov/11311464/

👉 The incidence of CES is estimated to be between 1 in 33 000 and 1 in 100 000 per year. https://pubmed.ncbi.nlm.nih.gov/21193933/. Thus, a full-time general practitioner may never encounter a case in a clinical career. https://pubmed.ncbi.nlm.nih.gov/33436390/

👉 The main cause of CES is the lumbar is a central disk herniation (LDH, s. figure ), mostly at L4/5 or L5/S1 level. CES due to LDH is 1-3% of all disc herniations. https://pubmed.ncbi.nlm.nih.gov/24763893/, https://pubmed.ncbi.nlm.nih.gov/19887225/, https://pubmed.ncbi.nlm.nih.gov/17477101/, https://pubmed.ncbi.nlm.nih.gov/15129202/, https://pubmed.ncbi.nlm.nih.gov/10703108/, https://pubmed.ncbi.nlm.nih.gov/26504103/

👉 There are also other causes leading to CES such as an accident that injured the spine, complications with spinal anesthesia, drug side effects and vascular lesions of the spinal cord. https://pubmed.ncbi.nlm.nih.gov/21404036/, https://pubmed.ncbi.nlm.nih.gov/19887225/, https://pubmed.ncbi.nlm.nih.gov/21193933/. https://pubmed.ncbi.nlm.nih.gov/33436390/

👉 Patients usually present symptoms such as low back pain with unilateral or bilateral sciatica (50% of cases, https://pubmed.ncbi.nlm.nih.gov/33436390/), reduced sensation in the saddle area, reduction of sexual function, f***l incontinence, bladder dysfunction (reduced awareness of bladder filling, loss of the urge to void, reduced awareness that micturition is occurring, weak urinary stream with terminal dribbling, urinary incontinence), muscular weakness in legs and sensory loss in the perineum, buttocks and upper posterior thighs (disturbance of saddle sensation). https://pubmed.ncbi.nlm.nih.gov/24240024/, https://pubmed.ncbi.nlm.nih.gov/10029785/, https://pubmed.ncbi.nlm.nih.gov/24631650/, https://pubmed.ncbi.nlm.nih.gov/29935940/.

👉 The early stage of CES is often referred to as cauda equina syndrome incomplete (CES-I). The patient may have reduced bladder or urethral sensation and/or saddle sensory disturbance, but they retain bladder control. Once the patient has developed urinary retention and overflow incontinence it is classified as CES with retention (CES-R). https://pubmed.ncbi.nlm.nih.gov/29341941/,

💡 CES-I can evolve in CES-R. CES-I is presented in 30-50%, CES-R is presented in 50-70% of cases. https://pubmed.ncbi.nlm.nih.gov/21193933. The outcome of CES-I is generally favorable if there is an urgent surgical decompression within 48 hours. CES-R has unsatisfying prognosis, regardless the timetable of the surgical technique. https://pubmed.ncbi.nlm.nih.gov/18377315/, https://pubmed.ncbi.nlm.nih.gov/10851100/, https://pubmed.ncbi.nlm.nih.gov/29341941/

Figure: Schultz, D.M. (2018). Anatomy of the Spine for the Interventionalist. In: Manchikanti, L., Kaye, A., Falco, F., Hirsch, J. (eds) Essentials of Interventional Techniques in Managing Chronic Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-60361-2_7

🚨 : The cocktail of healthy ageing 💃🍸

Exercise has MANY benefits! But did you know about its anti-aging effect?

How does physical activity affect levels of stress hormones and promote anti-ageing? 🧐

READ HERE ➡️ https://bit.ly/3yN891W

Οστεοαρθρίτιδα: Η νόσος των αρθρώσεων.

Παγκόσμια Ημέρα Φυσικοθεραπείας 8 Σεπτέμβρη

Μέθοδος Pilates!!!

: Retrain the brain to decrease tendon pain 🧠

What are the neurodynamic contributions of eccentric muscle contractions?

Check out this blog post ➡️ https://bit.ly/3F11H9q

Άσκηση και Οστεοπόρωση!!

Καλό Πάσχα και Καλή Ανάσταση!!!!

Manual Therapy....

Manual Concept...

Love yourself first.....

Physiotherapy...

Myofascial Trigger Points

Σωματική Δραστηριότητα και Θεραπευτική Άσκηση.....

Με το καλό ο καινούργιος Χρόνος...... Καλή Χρονιά!!!!

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