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Ankle and Foot Trouble
Under construction at present sorry
Arthritus
Under construction at present sorry
Chest and Rib Pain
Under construction at present sorry
Coccyx Pain
Under construction at present sorry
Disc Prolapse
Under construction at present sorry
Headache
Cervicogenic headache
This type of headache is called cervicogenic headache and may affect up to 13% of patients suffering headaches. It has it's cause linked to
problems in the muscles, joints and nerve structures of the upper part of the cervical spine. As well as pain of he back, side and front of the head, patients will usually present with neck pain and possible restriction of movement of the neck. Symptoms include episodes of blurred vision. Treatment is
aimed at resolving the cervical spine problems and therefore allowing the headache deminish.
- Bronfort
G, Nilsson N, Haas M, Evans R, Goldsmith CH, Assendelft WJJ, Bouter LM. Non-invasive
physical treatments for chronic/recurrent headache. The Cochrane Library (ISSN 1464-780X). Cochrane
Database of Systematic Reviews 2004, Issue 3. Art. No.: CD001878. DOI:
10.1002/14651858.CD001878.pub2 http://www.cochrane.org/reviews/en/ab001878.html
Summary: Some non-invasive physical treatments may
help prevent chronic/recurrent headaches.
Various physical treatments are often used instead of, or in addition
to, medications to treat headaches. Evidence from controlled trials suggests
that several non-invasive physical treatments may help prevent
chronic/recurrent headaches. Spinal manipulation may be effective for migraine
and chronic tension-type headache. Both spinal manipulation and neck exercises
may be effective for cervicogenic headache. Weaker evidence suggests that other
treatments may also be effective: pulsating electromagnetic fields and
transcutaneous electrical nerve stimulation (TENS) for migraine, and
therapeutic touch, cranial electrotherapy, TENS, and a combination of
self-massage/TENS/stretching for tension-type headache. Although none of these
treatments has conclusive evidence for effectiveness, all appear to be
associated with little risk of serious adverse effects.
- Nilsson N, Christensen HW, Hartvigsen J. The effect of spinal
manipulation in the treatment of cervicogenic headache. J
Manipulative Physiol Ther.1997; 20:326
-330.[Medline]
- Jull GA, Stanton WR. Predictors of responsiveness to physiotherapy
management of cervicogenic headache. Cephalalgia.2005
:25:101
-108.[Medline]
- Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A
randomized controlled trial of exercise and manipulative therapy for
cervicogenic headache. Spine.2002; 27:1835
-1843.[Medline]
-
Nilsson N, Evidence That Tension-Type Headache and Cervicogenic Headache Are Distinct Disorders. Journal of Manipulative and Physiological Therapeutics,
Volume 23 * Number 4 • May 2000.
0161.-475412000/$12.00 + 0 76111106094 © 2000 JMPT http://www.ncbi.nlm.nih.gov/pubmed/10820302
Hip Pain
Under construction at present sorry
Jaw Pain
Under construction at present sorry
Knee Pain
Under construction at present sorry
Low Back Pain
German Acupuncture Trials (GERAC) for Chronic Low Back Pain. Randomized, Multicenter, Blinded, Parallel-Group Trial With 3 Groups
Michael Haake, PhD, MD;
Hans-Helge Müller, PhD;
Carmen Schade-Brittinger;
Heinz D. Basler, PhD;
Helmut Schäfer, PhD;
Christoph Maier, PhD, MD;
Heinz G. Endres, MD;
Hans J. Trampisch, PhD;
Albrecht Molsberger, PhD, MD
Arch Intern Med. 2007;167(17):1892-1898. http://archinte.ama-assn.org/cgi/content/abstract/167/17/1892
Background To our knowledge, verum acupuncture has never been directly compared with sham acupuncture and guideline-based conventional therapy in patients with chronic low back pain.
Methods A patient- and observer-blinded randomized controlled trial conducted in Germany involving 340 outpatient practices, including 1162 patients aged 18 to 86 years (mean ± SD age, 50 ± 15 years) with a history of chronic low back pain for a mean of 8 years. Patients underwent ten 30-minute sessions, generally 2 sessions per week, of verum acupuncture (n = 387) according to principles of traditional Chinese medicine; sham acupuncture (n = 387) consisting of superficial needling at nonacupuncture points; or conventional therapy, a combination of drugs, physical therapy, and exercise (n = 388). Five additional sessions were offered to patients who had a partial response to treatment (10%-50% reduction in pain intensity). Primary outcome was response after 6 months, defined as 33% improvement or better on 3 pain-related items on the Von Korff Chronic Pain Grade Scale questionnaire or 12% improvement or better on the back-specific Hanover Functional Ability Questionnaire. Patients who were unblinded or had recourse to other than permitted concomitant therapies during follow-up were classified as nonresponders regardless of symptom improvement.
Results At 6 months, response rate was 47.6% in the verum acupuncture group, 44.2% in the sham acupuncture group, and 27.4% in the conventional therapy group. Differences among groups were as follows: verum vs sham, 3.4% (95% confidence interval, –3.7% to 10.3%; P = .39); verum vs conventional therapy, 20.2% (95% confidence interval, 13.4% to 26.7%; P < .001); and sham vs conventional therapy, 16.8% (95% confidence interval, 10.1% to 23.4%; P < .001.
Conclusions Low back pain improved after acupuncture treatment for at least 6 months. Effectiveness of acupuncture, either verum or sham, was almost twice that of conventional therapy.
Muscle Aches
Under construction at present sorry
Neck Pain
Exercises for mechanical neck disorders
Kay TM, Gross A, Goldsmith C, Santaguida PL,
Hoving J, Bronfort G, Cervical Overview Group
Summary
Neck pain is common, it limits function and is costly. Exercise therapy is a
widely used treatment for neck pain. There appears to be a role for exercises
in the treatment of neck pain. There is limited evidence of benefit for
strengthening, stretching and strengthening or eye-fixation exercises for neck
disorder with headache. There is limited evidence of benefit for active
range-of-motion exercises or a home exercise program for acute mechanical neck disorder
including whiplash associated disorder. There is limited evidence that an
eye-fixation program is beneficial for chronic mechanical neck disorder. There
is unclear evidence of benefit for a stretching and strengthening program in
chronic mechanical neck disorder. The relative benefit of different exercise
approaches is unclear.
This is a Cochrane review abstract and plain language summary, prepared and
maintained by The Cochrane Collaboration, currently published in The Cochrane
Database of Systematic Reviews 2008 Issue 2, Copyright © 2008 The Cochrane
Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the
review is available in The Cochrane Library (ISSN 1464-780X).
This record should be cited as: Kay TM, Gross A, Goldsmith C, Santaguida PL,
Hoving J, Bronfort G, Cervical Overview Group. Exercises for mechanical neck
disorders. Cochrane Database of Systematic Reviews 2005, Issue 3. Art.
No.: CD004250. DOI: 10.1002/14651858.CD004250.pub3
Date of last subtantive update: April 30. 2005
Background
Neck disorders are common, limit function, and are costly to individuals and
society. Exercise therapy is a commonly used treatment for neck pain. The
effectiveness of exercise therapy remains unclear.
Objectives
To assess the effectiveness of exercise therapy to relieve pain, or improve
function, disability, patient satisfaction, and global perceived effect in
adults with mechanical neck disorders (MND).
Main results
Thirty-one trials were selected, 19% (van Tulder criteria) to 35% (Jadad
scale) were rated as high quality. There is limited evidence of benefit for
strengthening, stretching and strengthening or eye-fixation exercises for neck
disorder with headache. There is limited evidence of benefit for active
range-of-motion exercises or a home exercise program for acute mechanical neck
disorder including whiplash associated disorder. There is limited evidence that
an eye-fixation program is beneficial for chronic mechanical neck disorder in
the short term but not in the long term. There is unclear evidence of benefit
for a stretching and strengthening program in chronic mechanical neck disorder.
There is strong evidence of benefit favouring a multimodal care approach of
exercise combined with mobilisations or manipulations for subacute and chronic
MND with or with headache in the short and long term.
Authors' conclusions
The evidence summarised in this systematic review
indicates that there is a role for exercises in the treatment of acute and
chronic mechanical neck disorder and neck disorder plus headache. Exercise for
neck disorders with radicular findings is not assessed. The relative benefit of
each type of exercise needs extensive research. Phase II trials would help
identify the most effective treatment characteristics and dosages.
Sciatica
Under construction at present sorry
Shoulder Stiffness
Under construction at present sorry
Sports Injuries
Under construction at present sorry
Tennis Elbow
Under construction at present sorry
Whiplash Injuries
Under construction at present sorry
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