What Can Be Helped By Ultrasound Physiotherapy?
Article by Shane Armfield
Ultrasound Physiotherapy May Help:
- Lower Back Pain - Transversus Abdominus & Multifidus
- SIJ Pain
- Pregnancy back pain
- Pelvic instability
- Hip Pain - Gluteal tendinopathy
- Shoulder Pain - Rotator cuff
- Knee Pain - VMO activation
- Foot Exercises - Flat Feet
- Core Exercises
- Pelvic Floor
- Dry Needling
Lower Back Pain
Ultrasound retraining of your Core Stability Muscles has fantastic benefits for low back pain sufferers. Researchers have investigated the benefits of ultrasound retraining since the 1990's. They have discovered that your chances of not experiencing another bout of low back pain (LBP) within 12 months are 4.4 times better if you have undertaken an ultrasound guided exercise program: 70% vs 16%.
It's effectiveness also lasts. After three years you still have a 2 in 3 chance of not experiencing LBP if you did the exercises. Hides etal (2001).
More info: Lower Back Pain
Ultrasound retraining of your Core Stability Muscles has fantastic benefits for sciatica sufferers. Since the vast majority of sciatica is caused by sciatic nerve pinching in the low lumbar spine, treatment that helps your back will almost always alleviate sciatica.
More info: Sciatica
The Sacroiliac Joint (SIJ) should be a fairly stiff or rigid link between the pelvic bones. In some people due to trauma or just extra mobility, the SIJ has too much uncontrolled motion. This allows the joint to adopt an unusual position which may result in pain.
The transversus abdominis (TA) and oblique abdominals through their attachments to the iliac bones helps closure of the pelvis and improves the position, control and stability of the sacroiliac joints.
Researchers have discovered that contraction of the TA muscle significantly stiffens and supports the sacroiliac joint. This improvement is larger than that caused by an abdominal bracing action using all the lateral abdominal muscles. (Richardson etal 2002)
More info: SIJ Pain
Pelvic Floor Retraining
Strong pelvic floor muscles are important for men and women. Women have been encouraged to exercise their pelvic floor muscle for decades, but now we understand that it is just as vital for men. Research has found that a strong pelvic floor improves:
incontinence (urine dribbling)
erectile dysfunction (Uni of Bristol study, 2004)
sexual sensations and enjoyment (Impotence Association,
More info: Pelvic floor
Some people are born a little more flexible than the rest of us. Usually these people have poor muscle tone in their deep stabilising muscles. The transversus abdominis is the most important muscle that holds the two halves of the pelvis together.
Core stability retraining will improve your deep core muscle control, which dynamically stabilises your pelvis, SIJ and lumbar spine.
More info: Pelvic Instability
Pregnancy or Post-Childbirth Back Pain
Carrying a child is a physically demanding task. The weight of the baby places continual pressure on the pelvic floor muscles and stretches the lower abdominal muscles.
The trauma of birth involves further stretching of the pelvic floor muscles and sometimes tearing. Hence, the pelvic floor muscles and the transversus abdominis become weak, stretched and inhibited. Along with this, a hormone called "relaxin" is released through your body during the months prior to and post-delivery. Relaxin makes the pelvic ligaments soften to enable the pelvis joints to stretch for the delivery. This means that the transversus muscle has to work even harder to stabilise the pelvis and lumbar spine.
The good news is that Ultrasound Retraining is very safe for the unborn child. The ultrasound equipment is the same as that used by your Obstetrician for routine pregnancy scans.
Caesarian births have additional complications due to the cutting of muscle layers and in some cases, nerves. We highly recommend US retraining following a Caesarian delivery.
More info: Pregnancy Back Pain
Post Abdominal Surgery
Abdominal and pelvic surgery involves cutting through the muscle layers. Along with the post-operative pain, cutting the muscle changes the ability of the core stability muscles to work efficiently. As with other muscle cuts, your Transversus Abdominis in particular needs to be strengthened post-operatively. otherwise it will almost certainly remain permanently weak.
With some surgeries the nerve supply to the lower part of the transversus muscle is cut through (such as in appendix removal and caesarean births). Because of this, you need to retrain the muscle to learn how to correctly use it again.
Pre-Pilates, Yoga, Gym & Exercise Programs
Exercise programs that aim to develop your core strength can often do just the opposite. The most common reason for injury and back pain is the incorrect timing of muscle recruitment. Pilates, Yoga, gym strengthening and other forms of exercise place high demands on your core stability system. If the core muscle recruitment order is abnormal, your chance of injury increases in proportion with the exercise difficulty.
Research has identified that the order of core muscle recruitment is the most important factor in the prevention or resolution of pain.
Remember, if you build a skyscraper on a poor foundation it will eventually topple. The same goes for your core stability muscles. Recruit the deeper muscles prior to your superficial layers just like adding floors to a sturdy skyscraper and your back will be strong and painfree forever.
"Pot Belly" Syndrome
"Pot Belly" - or whatever you wish to call it, is a cosmetic problem related to your lower stomach muscles.
Some people have lax lower stomach muscles. No matter how hard you pull in your tummy, the lower part just doesn't seem to pull in. Ultrasound retraining is a valid alternative to cosmetic surgery.
The problem is that the transversus abdominis muscle has stopped working effectively and the upper abdominal muscles dominate. Hence as you attempt to pull in your stomach muscles, the upper tummy sucks in but the lower part doesn't. The end result is a "Pot Belly"."Pot Belly" is a common problem post-pregnancy.
With Ultrasound Retraining you can learn to draw in your lower tummy muscles and solve your "Pot Belly" forever!
Ultrasound Physiotherapy FAQs
Real Time Ultrasound Physiotherapy Clinics
To make your booking, please contact one of the following PhysioWorks clinics that provide Real Time Ultrasound Physiotherapy programs.
Phone: 3366 4221
Phone: 3862 4544
Phone: 3269 1122
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