Neck and Head Physiotherapy in Mandurah | Physiotherapy for Back Pain Relief in Mandurah

 

Tailbone and back pain following fall on bottom


I recently suffered a fall on my bottom whilst playing sport.  I am now suffering from very low back pain and am experiencing some bladder problems.  What should I do?

Back Pain can range from just a niggle to major injury.  The physiotherapists at Mandurah Physiotherapy treat a lot of clients with Back Pain.  It is very common in our society and the majority of the population will suffer from back pain at some point during their lives.

Occasionally falls on the bottom will produce some instability and injury to the sacroiliac/coccyx joints.  These joints are where the tail bone attaches to the pelvic and connect to the spine.  Often if these structures are involved then bladder problems may emerge and may settle with treatment to the tailbone and a good exercise regime.  There is a lot of research in this area and there is still a lot more to do however this may be the problem and help from an experienced physiotherapist is required.  If the tailbone joints have become unstable due to injury to the ligaments or muscles then this needs to be addressed.  The exercises that mainly need to be concentrated on are the lower abdominals, pelvic floor and gluteal muscles which are in the buttock. You may also need to concentrate on certain stretches to take the pressure off the joint. Find a physiotherapist who has some knowledge of the recent research in this area and make sure you have a full assessment to ensure the proper diagnosis is made.  It would also be of benefit to talk to your G.P concerning these problems and get some advice.  You may need to be referred to an orthopaedic specialist for further assessment and treatment.

Back pain, no matter how small should be looked at.  The longer you live with it the longer it will take to treat and get relief.  If you leave it too long, irreparable damage to your spine may occur that is irreversible.  Don’t leave it in the hope that it will go away with time.  Get some advice-see your  physiotherapist for a full postural and biomechanical assessment of the problem.



Scoliosis

Scoliosis is an abnormal sideways curvature of the spine.  Instead on of the spine being straight when viewed from the back, there is a curve to one side or the other or a combination of curves.  Scoliosis is generally classed as those curves that are severe or cause symptoms.  They can be idiopathic although there are other causes.   They may occur due to an irregularity such as a short leg, or due to bad posture or increased muscle use on the dominant side of the body.  Sometimes it can be due to abnormalities or disease of the bones, soft tissue or nerves associated with the spine.  Minor curves are normal in the local population and do not necessarily need treatment.  They can however cause discomfort in the back or neck and treatment will relieve symptoms.

Abnormal spinal curves require a spinal and posture assessment.  If the curve is severe, a specialists opinion may be sought.  All  children should be assessed for scoliosis before they finish growing.  If this is diagnosed early, treatment is much more effective.  Treatment often consists of an appropriate exercise program, treatment and advice in order to minimise the curve and keep it mobile to avoid complications. Severe scoliosis may cause wedging of the bony vertebral segments as well as stiffness, and treatment may be needed during flare-ups. Maintenance treatment for spinal curvatures is encouraged to ensure full range and function in the back and neck.

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