pain management · 2019. 11. 27. · pain management 2014-05-26 5955 airport rd, suite 248,...
TRANSCRIPT
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Pain Management
2014-05-26
5955 Airport Rd, Suite 248, Mississauga
Zhi-Ping Ren www.DrRen.net
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“If you are over 60 years old and wake up one morning without feeling any pain in your body, you are already dead”-Dr. Hans Nordlinder
Pain is common as we aging
Pain is often ignored
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Pain caused by internal organs: stomachache, myocardial ischemia, gallstones, etc.
Pain caused by ligaments and muscle sprains.
-Trauma
-Static damage
*Different threshold of pain
Different kinds of pain
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Our skeleton structure is supported by ligaments and muscles
Posture change will cause dynamic change of the skeleton
Strength of ligament and muscle are limited. Improper posturing can over stretch soft tissue and cause the damage
Our body needs time to rest and repair
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Improper posturing is the main cause of muscle and ligament sprains
Sudden movement with wrong posture: acute pain develop to chronic pain
Prolonged improper posturing: minor pain accumulate to major chronic pain
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Lower back pain
Lower back pain is one of the most common pain and approximately 90% of population will
be affected in their lifetime
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A bony column in the middle of the back, provides support for the body and flexibility for the trunk. These bones surround the spinal cord together with muscles and
ligaments form a "S" shape structure. The lower portion of this "S" is the low back.
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The Lumber Vertebrae
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The lumbar spine is made of 5 bones called vertebrae, named L1-L5. These bones are separated by intervertebral discs, that
cushion the vertebrae and allow for movements of the back like bending. These intervertebral discs are similar to cushions of a gel-like material between the bones. Nerve fibers going to and
from the spinal cord.
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Muscles around vertebrae
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Muscles around vertebrae
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Muscles around vertebrae
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Muscles around vertebrae
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Most common damages of lower back pain
1. Lumber 3 transverse process tear
2. Lumber 4 and 5, Sacrum 1 muscle sprains.
3. Sacroiliac joint mismatch
4. Sciatica
5. Spondylolisthesis
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Lumber 3 transverse process torn
Sharp and dull pain
ROM significant reduced
Affect seating and sleeping
Need immediate medical attention
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Treatment for L3 transverse process torn
Icy or cold water pad
Rest on hard mattress
Lower back brace
Medical treatment
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Stretches accordingly
Cat and camel pose
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Sacroiliac joint mismatch
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Sacroiliac joint surface
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Different leg length
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Pain or stiff around vertebrae T8
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Chest stretch for maintenance
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Sciatica
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Herniation
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Spondylolisthesis
The x-ray shows the translation (slip) of one vertebra over the adjacent level, usually the one below.
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Cauda equina syndromeSuddenly have difficulty or loss of control of urination
or bowel movement
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Our body need maintenance
Birth
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Key information: Exercise
As the old saying in Chinese: Running water does not get stale,a door-hinge will never decay.
Proper exercise and stretch everyday
Example: Experiment on joint fluid
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Ancient Chinese Health Maintenance Art
Tai-chi (太極 )
Exercise of the Five Animals (五禽戲 )
Eight Brocade (八段錦 )
Tendon Reborn (易筋經 )
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Enjoy a happy & healthy life From: Ren Acupuncture & Chinese Medicine Clinic
www.DrRen.net