ملف رائع عن أمراض الظهر و الرقبة وكيف يتكون الديسك وطريقة العلاج

1. Neck & Back Care Michelle Kwong B.HSci(Phty), MSPA, Cert. Clinical Pilates Principal Physiotherapist Practice Director Http://www.painrelief.sg

8. Joints Allows movement between bones

9. Intervertebral Disc The intervertebral disc is a jelly like substance, which consists of annulus fibrosis and the nucleus pulposus . Acts as a shock absorber.

11. Ligaments Ligaments are fibrous bands or sheets of connective tissue. They link two or more bones, cartilages, or structures together.

12. Muscles Muscles attach to the spinal column, pelvis, and extremities. They serve to support the spine

14. Causes of Neck & Back Pain

15. Causes of Neck & Back Pain Poor Carrying Posture Poor Sitting Posture

16. Causes of Neck & Back Pain Poor Sleeping Posture Poor Working Posture

18. Common Problems Neck & Back Pain

21. Disc Herniation Stages of Disc Herniation 1 Disc Degeneration Chemical changes associated with aging causes discs to weaken, but without a herniation. 2 Prolapse The form or position of the disc changes with some slight impingement into the spinal canal. Also called a bulge or protrusion. 3 Extrusion The gel-like nucleus pulposus breaks through the tire-like wall (annulus fibrosus) but remains within the disc. 4 Sequestration or Sequestered Disc The nucleus pulposus breaks through the annulus fibrosus and lies outside the disc in the spinal canal.

22. Effects of position on disc

23. ‘ Slipped’ Disc

25. Lumbar Spondylosis Normal 58 yrs old Degenerative Changes 83 yrs old

27. Signs and Symptoms

41. Surgery In some cases surgery is necessary, more often it is not necessary. Another 6-8 weeks of physiotherapy, at 3 to 5 times per week. Lower rate of success, dependent - Pain - Increased danger from anesthetic - Increased danger from possible infections - Possible post operation complications (eg pneumonia, DVT, delayed union/nonunion, spinal cord injury) - Noticeable scars Prolonged recovery time, generally 6 to 8 weeks

42. Prevention of Neck & Back Pain PREVENTION IS BETTER THAN CURE!

44. Strengthening Exercises

45. Healthy Lifestyle Mobility Aerobic Endurance Flexibility Strength

46. Healthy Lifestyle

61. THANK YOU Presented By: Michelle Kwong B.HSci(Phty), MSPA, Cert. Clinical Pilates Principal Physiotherapist Practice Director World Malayali Club http://groups.yahoo.com/group/worldmalayaliclub/