Exercise Ball Therapy for Lower Back Pain Relief

Lower back pain seems to be a common issue. Here is one way to relieve lower back pain using an exercise ball. This article was posted on spin-health.com, a forum for thousands of doctor written, doctor reviewed articles on back pain, neck pain, and related disorders. For more questions give us a call at 619-756-7500!

 

The exercise ball is an exercise treatment option for back pain sufferers and is designed to help prevent or minimize further episodes of low back pain as part of a rehabilitation program. The exercise ball is effective in rehabilitation of the back because it strengthens and develops the core body muscles that help to stabilize the spine.

With the exercise ball, also called a Swiss ball or physio ball, an element of instability is introduced to the exercise that one would not normally get in a floor exercise. The body responds naturally and automatically to this instability to keep balanced on the exercise ball. Over time, the muscles used to keep in balance on the exercise ball become stronger. In essence, individuals build strength in important back muscles and abdominal muscles without knowing it.

The exercise ball also uses what is called “proprioception,” an awareness of where one’s hand or foot is in relationship to space. The instability of the exercise ball provides the body with constant opportunities to evaluate its orientation in space, developing and training the body’s natural awareness. Enhanced proprioception provides the body with increased balance and stability.

In addition, it is theorized that the type of spinal movement induced by using the exercise ball (small range, adjustment of balance) may help reduce pain by stimulating the body to produce increased amounts of natural pain inhibitors.

The benefits of exercising on an exercise ball for people with low back pain include:
•Simple and versatile way to start moving again after a back pain episode
•Improved muscle strength
•Greater flexibility and range of motion of the spine
•Enhanced balance and coordination of core muscle groups used to stabilize the spine and control proper posture while using the exercise ball, which in turn reduces stress on the low back
•Increased tendency to maintain a neutral spine position during exercise
•In particular, many Swiss ball exercises are designed to bring movement to the spine in a controlled manner to help keep the discs nourished. Moving the vertebrae helps nourish the discs in the spine by increasing blood flow around the disc and by causing the water to flow in and out of the disc

The exercise ball has additional applications in areas such as general fitness, strength or weight training, as well as exercise for pregnant women.

For all forms of exercise, it is advisable to see an appropriately trained and licensed spine specialist, such as a physical therapist, occupational therapist, chiropractor, exercise physiologist, or physical medicine and rehabilitation physician (also called a physiatrist). Depending on the specific diagnosis and level of pain, the exercises with the ball will be different, and appropriately trained spine specialists (e.g. certified in exercise ball technique) play a critical role in both developing the right exercise program and providing instruction on correct form and technique.

Skip the Running: Alternatives to High-Impact Exercises

When it’s time to get back into the gym, running always appears to be one of the best forms of cardio. However, it get be very stressful on your joints. Adrienne Santos-Longhurst gives us some great cardio alternatives in this article posted on Livestrong.com. For additional questions, give us a call at 619-756-7500!

Give your joints a rest and test your meddle with these high-intensity/low-impact alternatives—not for beginners.
Written by Adrienne Santos-Longhurst
Medically Reviewed on June 5, 2013 by George Krucik, MD, MBA

Those who have felt the proverbial “runner’s high” will tell you that there’s no other activity that even compares to running. As intoxicating as a hard run can be, running can take a toll on your joints even if you’re in tip-top shape. Finding alternatives to running will help keep you active while giving your joints a much-needed break. According to a 1994 study conducted by the Exercise Science Unit at the University of Tennessee at Knoxville, cross-training is highly beneficial to your overall health and an effective alternative for athletes who are taking a break because of physical injury, overtraining, or fatigue.
Whether you’re in need of some recovery time from an injury or just looking for high-impact alternatives to mix things up and give your joints a break from the pavement pounding, these alternatives to running fit the bill.

Cycling
Cycling offers runners the perfect alternative to running. Just like running, cycling can be enjoyed indoors or out thanks to stationary bikes and bike trainers. Cycling allows you to maintain and improve your fitness but without the same stress on your joints and shins. Hop onto a road bike, a stationary bike at home or at the gym, or try an advanced Spin class for a high-intensity workout that just might offer runners a new kind of high.

The Elliptical Trainer
Love it or hate it, the elliptical trainer offers an excellent training alternative for runners who are injured or looking to rest their joints. Elliptical machines allow you to mimic the motion of running, and though a weight-bearing activity, it is low-impact for your joints so that you can get a workout comparable to jogging with less impact on your joints and no knee pain, according to Mayo Clinic physical medicine and rehabilitation specialist Edward R. Laskowski, MD. Focusing on motions that are as similar as possible to your usual running form and sticking to a similar training schedule will help you make the most of this activity and maintain your fitness level.

Water Running
Runners who need a change but are reluctant to try anything other than running are likely to find water running, which is also referred to as pool running, to be a good compromise. Just as the name suggests, water running is performed by running in water, often the deep end of a swimming pool. This great alternative to running lets you enjoy the benefits that come from the motion of running without any impact on your joints. To get the most out of pool running, focus on your form, staying consistent with your regular running motion. Following a training schedule similar to your running one will also help you get the most from this unique alternative while still allowing your joints a break.

Walking
Contrary to popular belief that walking isn’t nearly as good a workout as running; walking is in fact an effective alternative for runners who want the same health benefits but without the impact on their joints. A study published by the American Heart Association in their journal, Arteriosclerosis, Thrombosis, and Vascular Biology, found that walking was just as effective as running in lowering the risk of hypertension, diabetes, and high cholesterol. The key is to walk for twice as long as you would run in order to get the same benefits as you would from running. Along with the health benefits, you also get to enjoy the fresh air and scenery that makes running so appealing.

Step Aerobics
Taking a step aerobics class or working out to a step video offers a high-intensity and low-impact workout that is easier on the joints than running but still effective in improving muscular strength and cardiovascular endurance. A 2006 study published in the British Journal of Sports Medicine found that step exercise offers a workout with a biomechanical load that falls between what you would get from walking and running. The key is to perform the moves properly and safely to avoid injury.

Read more: http://www.healthline.com/health/osteoarthritis/knee/alternatives-to-high-impact-exercises#ixzz37Alz0m00

Benefits of the Use of Ultrasound in Physical Therapy

If you have ever thought of using ultrasound for physical therapy, take a look at this article by Erica Jacques for more information. Give us a call at 619-756-7500 if you have any additional questions!

Ultrasound can help to prepare a muscle for stretching.
Ultrasound, according to Alain-Yvan Belanger, is the most commonly used modality in physical therapy today. Its use dates all the way back to the 1880s. Ultrasound machines generate sound waves that are higher than the frequency we can hear. The effect of these sound waves on the body’s tissues produces a number of benefits.

Deeper Heat
According to Belanger, the way ultrasound generates heat is through the vibrations caused by the sound waves. When tissues vibrate, this increases friction all the way down to the molecular level, causing the temperature of the targeted tissues to rise. This is a benefit of ultrasound over a traditional hot pack, which cannot penetrate into deeper musculature or joint tissues. Ultrasound heads are available in a variety of frequencies that can target a variety of depths, which gives a skilled therapist the ability to send heat exactly where she wants it to go. Some conditions that may benefit from this deeper heat, according to Belanger, include osteoarthritis and phantom limb pain.

Deeper Stretch
The deep heat generated by ultrasound can help to relax a tense or strained muscle. According to Spine Universe, this can help to minimize muscle spasms and shortening often associated with tension or injury. Spine Universe reports that ultrasound therapy has the added benefit of increasing range of motion.

Tissue Healing
Ultrasound’s deep heat is thought to have a healing effect on deep tissues. According to Belanger, ultrasound actually affects the metabolism of soft tissue cells. In addition, these cells often become more receptive to healing fluids, which are present in the increased blood flow generated by ultrasound. Because of this, Belanger goes on to report that ultrasound’s healing benefits may be useful in treating surgical wounds and soft tissue lesions.

Scar Tissue Control
Another benefit of ultrasound is its acoustic effect. The waves generated by ultrasound cause tiny vibrations in the cells of the soft tissues. These microvibrations, as Belanger describes them, have an effect on the fibers that form scar tissue. Over time, ultrasound used in this method can actually prevent some scar tissue from forming, and may be able to break some scar tissue down. Examples of success in scar tissue management are episiotomy scars as well as Dupuytren’s contracture, which is caused by excessive scarring in the tissues of the palm. As with its thermal effects, ultrasound used to break up scar tissue can also maintain and increase range of motion.

Reduced Pain
Some of the pain control from ultrasound comes from the mechanical results of the treatment itself. These include the decreased muscle spasms and muscle tightness as well as tissue healing. However, an added benefit of ultrasound comes not from what it does, but what it can help a physical therapist do. Combining the heating and healing powers of ultrasound prepares muscles for other therapeutic treatments that reduce pain, including stretching and strengthening.