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Related Experiment Videos

Physiotherapy and spinal nerve root adhesion: a caution.

Cynthia Lewis1

  • 1Hillcrest Longway Bank, Nr Matlock, Derbyshire, UK. theamayl@aol.com

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy
|March 26, 2005
PubMed
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Patients with spinal neuropathic pain, caused by scar tissue aggravating nerve roots, often find conventional physiotherapy harmful. Gentle, individualized exercise is recommended to avoid exacerbating their chronic pain.

Area of Science:

  • Neurology
  • Pain Management
  • Physical Therapy

Background:

  • Spinal neuropathic pain arises from scar tissue irritating spinal nerve roots, distinct from spinal cord injury pain.
  • This condition causes chronic back and radicular pain, with nerve root adhesions compromising biomechanics and movement.
  • Conventional physiotherapy often exacerbates pain in these patients due to compromised nerve function.

Purpose of the Study:

  • To investigate the experiences of patients with spinal neuropathic pain regarding physiotherapy.
  • To highlight the need for specialized therapeutic approaches for this patient group.

Main Methods:

  • Data collected from an internet support group detailing individual patient experiences.
  • Patient experiences were systematically tabulated for analysis.

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Main Results:

  • All patients reported that stretching, flexing, and strenuous exercise were detrimental.
  • A subset of patients found gentle exercise, with pain avoidance guidance, to be beneficial.
  • Some patients were advised against physiotherapy after receiving a diagnosis of arachnoiditis.

Conclusions:

  • Physiotherapy for spinal neuropathic pain requires special consideration, emphasizing gentle, tailored exercise.
  • This study aims to foster understanding and encourage the development of improved therapeutic strategies for spinal neuropathic pain.