Different Terms Concerning Documentation in Physiotherapy

In health care, anything and everything with claims to help the patient is documented. Case studies are done on everything from the effects of prescription medicine on a person to what type of chair best supports the back. Medical journals include articles on documentation in physiotherapy to keep doctors and others in the health care profession up to date with new methods, ideas that work and those that fail.

Documentation forms and papers generally consist of an introduction to physiotherapy, or the physical issue, a background of physiotherapy, methods tried in the past, methods attempted, guidelines that were followed, or created, medical discussion, and anything else the author, or authors thought to be important to the subject.

Documentation in physiotherapy is an important legal requirement for all professional health care providers. Because of its importance, more areas and physiotherapy cases are being studied, evaluated and documented to show their worth to the community at large.

Documentation in physiotherapy has been issued from study after study on physical therapy for the elderly. While few studies remain inconclusive, or appear to show no change between those receiving physical therapy and those who did not, most documentations prove physiotherapy is beneficial to elderly patients.

A documentation in physiotherapy management of adults with lower limb prostheses conducted by a small group under the British Association of Chartered Physiotherapists in Amputation Rehabilitation write a paper with detailed information that lists the need for evidence based clinical guidelines, the aims and objectives of their guidelines, the development process, consensus and external review.

More extensive documentation in physiotherapy is needed within the area of childrens health, including childhood diseases and disorders, such as Cerebral Palsy, Multiple Sclerosis, Cystic Fibrosis, development, and speech and language disorders, or injury to the spine, head or neck.

The term, documentation in physiotherapy, also includes providing health care workers with information on guidelines to follow, patient and hospital policies, and strategies centering on physical therapy. These guidelines may be used universally, or by hospital to hospital requirements.

It is also a term for a personal program, or software with forms for physiotherapists to fill out with such things as patients name, cause of illness, therapy used and what methods worked best. Medical software companies sell programs that detail and help health care professionals answer questions when creating documentation in physiotherapy. PhysioGraphic is one such product that can be found online, or in medical catalogs. It is a program suitable for handheld computers, such as PDAs (Personal Digital Assistant) that a doctor may carry around with him or her while visiting patients.

Lower Back Pain Help For Days That Really Hurt!

About had the biscuit with all the lower back pain you’ve been having? No wonder, lower back pain is one of THE most irritating things you will ever have to put up with. Looking for lower back pain help? Something you can do without drugs and can do in combination with massage therapy and physiotherapy?

No doubt the thought of even getting up sends shivers up your back, but there’s nothing else for it but to do some of the suggested things in this article in order to get lower back pain help that makes a difference.

One of the first things you can do, and you might think it’s silly, but most people don’t know how to sit the right way. Right, you’ve been sitting that way for years now and it’s never bothered you – until now. And now you need lower back pain help to get through the day.

Now about sitting – make sure you are sitting in chairs with straight backs, not those curved office thingies that are supposed to give you lumbar support you don’t even feel. Well the reason you don’t feel it most of the time is because it just doesn’t exist. No wonder you need lower back pain help. In any event, what you do is keep your knees a little higher than your hips by adjusting the seat or, if you prefer, using a low stool to prop your feet up on. When you go to turn, turn your whole body, not just twist at the waist.

Driving is a different kettle of fish. Do sit straight and move the seat forward (unless you have long legs that is). The seat being forward helps you not lean forward to reach the controls but hey, if you’re tall, your arms will likely be long enough to reach anyhow. If you’re going to be on the road for a long period of time, you might want to put a rolled up towel or small pillow or get one of the ergonomic beaded seats for your lower back. These small, yet effective measures will help you diminish lower back pain. Easy measures to get lower back pain help without spending too much.

And now for something completely different! How to stand properly to give your back the right support it needs. Never stopped to think about it did you? Not many people do. If you stand for long periods of time then every so often, rest one foot on a low stool (relieves pressure on your lower back). The trick is to alternate feet every five to fifteen minutes. Remember to keep up with the good posture, which means trying to keep your ears, shoulders and hips in a straight line head pulled up and stomach pulled in. Granted this is somewhat difficult if you are a bit on the large size, but you get the idea.

And sleeping, here’s the more difficult thing to accomplish, but, having said that, it can be done. Just takes a bit of work, and if you have been suffering from lower back pain, help is always appreciated. Sleep on your side with your knees bent. That’s the secret, along with (if this suits you) a pillow under your head to support your neck and a pillow between your knees. Back sleeper are you? Easy, put pillows under your knees and one under your lower back (a small one) and for those of you who sleep on your stomach you put a pillow under your hips.

Now this is if you can remember to do this and if you can keep the pillows in place while you toss and turn at night. It might take a bit of finessing, but you should see an improvement in your lower back pain by trying this. You will of course have a firm mattress, not a soft one (unless you use a ½ inch plywood board under the mattress to support it).

Tendinitis and Other Causes of Neck, Left Shoulder and Upper Back Pain

Neck, left shoulder and upper back pain are a common condition that many Americans will suffer from at some point during their life. The pain caused from this can be from mild and achy to severe and chronic or anywhere in between. The causes of neck, left shoulder and upper back pain are as varied as the pain but your shoulder is often the cause. The shoulder joints movements and complex composition makes the shoulder very vulnerable to such things as tears, strains, and sprains. This can induce inflammation of the bursa, ligaments, muscles, and capsules involved in the joints makeup. Injury to the shoulder can result in neck, left shoulder and upper back pain. The shoulders joints, muscles, and tendons allow your arms their wide range of motion and if injured, it may result in pain in the shoulder and upper back that is temporary and disappears quickly or is severe and long lasting.

Some of the many causes of neck, left shoulder and upper back pain include tendinitis, which is a cord, connecting the bones, muscles or other tissues. Tendinitis can result from wear and tear over a period of years or acute injury. Other causes of tendinitis include overuse and degenerative disease. Rotator cuff injuries are one of the most common causes of neck, left shoulder and upper back pain. Your rotator cuff is tendons and muscles that provide stability and motion to your shoulder. The space provided for your rotator cuff is very narrow, so and swelling or inflammation can cause neck, left shoulder and upper back pain along with weakening your arm.

Lifestyle changes often help or prevent neck, left shoulder and upper back pain. Although you cannot always prevent injuries and accidents, there are things you can do to help stop recurring pain. Along with staying in good physical shape, a regular daily exercise program that focuses on your shoulder, neck, and back area helps strengthen and protect them. Always use proper lifting techniques, maintain good posture, learn to deal with unhealthy stress in a positive way and find new ways to perform jobs that aggravate your problem.

Anyone experiencing neck, left shoulder and upper back pain should see their doctor to get their condition diagnosed. The evaluation may consist of a physical examination and various tests such as x-rays, range of motion tests, MRI scans, and a neurological inspection. Once your doctor determines the cause of your neck, left shoulder and upper back pain, he or she will start you on a treatment program.

Identifying the Causes of Upper Back Pain

Regardless of the causes of upper back pain, it is still as miserable and agonizing as any other type of back pain. Although not as common as lower back or neck pain, it can cause significant soreness, discomfort, agony, and inconvenience and requires proper treatment. The most common causes of upper back pain are strain or injury, which includes joint malfunction, muscular irritation, and poor posture. Statistics show that one of the major causes of upper back pain today is people sitting in one position for extended periods. Upper back pain is a very common problem for individuals that spend their days sitting at a desk or working on the computer. They are at more risk from back pain than most. It is important to find the causes of upper back pain in order to have it treated properly and successfully.

Causes of upper back pain include a joint malfunction usually resulting from an injury or strain to the joints between the upper back and ribs. Muscular irritation is another of the causes of upper back pain normally as the result of inactivity or inadequate muscle strength. A vertebra compression fracture can cause chronic or acute upper back pain. Complaints of upper back pain in women over fifty may indicate osteoporosis and a vertebral compression fracture. Although osteoporosis is more common in postmenopausal women, it can develop in perimenopause women and in men. Some of the treatments for a painful vertebral compression fracture are rest and pain medication, or kyphoplasty or vertebroplasty surgery. A ruptured or herniated disk and degenerative disk disease are other causes of upper back pain but these are very uncommon and found in a very tiny percentage of people that are unfortunate enough to suffer with upper back problems.

Loosening your upper back muscles along with strengthening them are important because it helps relieve the stress put on your upper back and may prevent reoccurrences of the causes of upper back pain in the future. A physical therapist or chiropractor can help you do this. Regular stretching and strengthening exercises and practicing appropriate posture are necessary to help avoid many of the causes of upper back pain. Poor posture strains the ligaments and joints leading to weak muscles and pain. You can also treat upper back pain through, stretching exercises, deep muscle massage, ice and/or heat therapy, and acupuncture. Your doctor may prescribe an anti-inflammatory, pain medication, or muscle relaxant to help you deal with the pain.

To find out the exact causes of upper back pain, never try diagnosing yourself as that could possible do more harm than good. Instead, talk to your doctor about your pain so he or she can run the necessary tests to find the exact cause.

Physiotherapy Couch Basics

One of the most important piece of equipment used by physical therapists is a physiotherapy couch, or bench. This flat cushioned, vinyl covered chair, bed, table, or couch on an adjustable frame is where the client lays or sits during a therapy session. It is usually comes on rollers for easy movability with foot sections and back adjustments that move in positive and negative degree positions. Some are sold with a small stool for the therapist. It is used in hospitals, clinics, and private practices.

The main part of the physiotherapy couch supports the body and lies in a horizontal position. Equipment comes with a head and neck rest that, depending on the model, may or may not be detachable. This allows the patient to comfortably lie on the back or stomach according to individual need. The couch may include manual adjustments, or electrical controls.

A physiotherapist may choose to use a physiotherapy couch for clients with a variety of ailments, injuries and disorders. Generally it is used in massage therapy for clients with back pain and injury, but is equally useful for working with patients with leg and foot injury.

Some companies, such as Delta, offer additional parts for their couches and tables. These include side supports for keeping the patient from falling, shoulder and arm supports, a vertical lift, manual adjustments for foot sections, a three to seven section table, and the option for thicker cushioning. An advanced physiotherapy couch can be adjusted so that the table lies horizontally flat or tilts up to a forty five degree angle.

Some medical equipment companies are trying to come up with better couch designs. This is due mainly to current couches, or benches being too short for a patient to comfortably rest his or her legs on. At present, therapy couches can be bought with a width up to eighty inches wide.

When a physiotherapist couch is unavailable, a physical therapist may set up a temporary arrangement, such as the use of a bed, floor or table. Pillows and blankets may be used for client support and comfort.

A portable physiotherapist couch is light enough for the physical therapist, or masseuse to bring straight to the client’s home or work place. Instead of an adjustable metal bar frame and system for support, lightweight portable couches are built on a metal, or wooden frame that uses a cable system. The cables tighten to support weight as it is put onto the cushions.

Physiotherapist couches, tables and chairs are sold in a variety of colors with, or without additional hardware. All are made with both the therapist’s and client’s needs in mind.

Cervicogenic Headaches and Other Causes of Head and Neck Pain Symptoms

A headache is pain felt in the head but sometimes pain that radiates to the upper back or neck causes head and neck pain symptoms. Muscular headaches such as tension headaches that often involve the tensing or tightening of neck and facial muscles are a common form of primary headache. The head and neck pain symptoms for a muscular headache is pain radiating from the eyes, back, neck, or other body muscle groups. Around four percent of the population suffers from chronic muscular or tension headaches. Although they do not know the exact cause of tension-type headaches, some scientists believe that the head and neck pain symptoms are often a result of muscle tension around the neck and head, stress, eyestrain, hunger, bad posture, uncomfortable positions, or sleep deprivation.

Cervicogenic headaches normally originate inside the neck structures causing head and neck pain symptoms. Many people do not understand how their neck could cause or be the source of their painful, severe headaches. Many experts believe that in the human body, one of the most vulnerable or unprotected parts are the neck, especially by the shoulder area. Prolonged neck movements can also cause head and neck pain symptoms often causing throbbing pains that move to the head area.

Doctors must examine their patients head and neck pain symptoms carefully because, like most types of headaches, it is not easy to diagnose a cervicogenic headache. No x-rays or medical tests can positively detect the presence of a cervicogenic headache. To find the source of the pain, it is important for a doctor to examine his or her patient carefully. Head and neck pain symptoms such as throbbing or severe pain caused by any type of headache can have a devastating effect on a person and cause performance problems at work, home, school, or socially. Along with the head and neck pain symptoms caused by cervicogenic headaches, other symptoms include nausea, eye pain from the back or inside of the eyes, and pounding, stabbing, severe pain from the neck region to the head area. Although cervicogenic headaches usually occur occasionally, in some cases the patient may experience regular episodes. Past severe head trauma can cause the head and neck pain symptoms of cervicogenic headaches.

Treatment used for cervicogenic headaches and the head and neck pain symptoms caused by it are, physical therapy and also drug injections, performed by a highly competent and skilled professional using x-ray guides. The human anatomy around the neck region is very complex so an injection error could lead to medical complications and serious injuries.