FAQs

Frequently Asked Questions


John Miller Physiotherapist

Article by John Miller

What's the Best Treatment for SIJ & Buttock Pain?

Understanding SIJ and Buttock Pain

Sacroiliac Joint (SIJ) and buttock pain can disrupt your daily life. A physiotherapist tailors treatment to your specific diagnosis, focusing on relieving pain, restoring function, and preventing future issues.

A 40-year-old woman standing outdoors, smiling and looking confident after recovering from sacroiliac joint (SIJ) pain.
A Woman Enjoying A Pain-Free Life After Successful Treatment For Sacroiliac Joint (Sij) Pain.

Phase I: Relieving SIJ Pain and Protecting the Joint

To start, pain relief is crucial. Acute SIJ dysfunction may require pain relievers or anti-inflammatory medications. However, these don't address the root cause. Your physiotherapist, with a thorough understanding of SIJ biomechanics and muscle control, will evaluate chronic cases. Managing sacroiliac pain, the primary symptom prompting treatment, is essential. Natural pain relief can be achieved using ice or heat packs on the SIJ.

Next, focus on reducing inflammation. Ice therapy, specific exercises, and techniques to unload inflamed structures are effective. Non-steroidal anti-inflammatory drugs, like ibuprofen, may be recommended. In some cases, blood tests can diagnose conditions like seronegative arthritis (eg Ankylosing Spondylitis), which can predispose you to sacroiliitis. Addressing prolonged morning stiffness, particularly in conditions like Ankylosing Spondylitis, is also important.

For SIJ instability, passive support, such as supportive taping or a sacroiliac joint stabilisation belt, can be helpful. However, a tailored exercise program is generally more effective.

Phase II: Restoring Normal Movement and Strength

As pain and inflammation subside, the focus shifts to restoring pelvic joint alignment and normal muscle control. Your physiotherapist may introduce a core stability program targeting lower abdominal muscles to stabilise your lower back and pelvis. Additionally, strengthening deep gluteal muscles, sometimes called your hip core muscles, is crucial. Your physiotherapist will assess your muscle recruitment pattern to determine the most suitable exercises.

Phase III: Regaining Full Function

This phase aims to return to normal pelvic alignment and maintain sacroiliac joint range of motion during demanding activities. Improving muscle power, balance, and gait is essential. Your physiotherapist tailors the treatment to your specific needs, whether you aim to walk comfortably or run a marathon.

Phase IV: Preventing Future Issues

Preventing recurrent sacroiliac joint dysfunction involves committing to a thorough muscle control program. Chronic SIJ issues often stem from muscle weakness. Your physiotherapist will guide you in identifying the best exercises to continue regularly.

Beyond muscle control, evaluating SIJ, spine, hip, and lower limb biomechanics is crucial. Addressing deficiencies helps prevent SIJ pain and dysfunction. Learning self-management techniques and receiving professional guidance from your physiotherapist will ensure long-term stability and function.

Conclusion

Effective SIJ and buttock pain treatment requires a comprehensive approach. Relief, restoration, and prevention are the key steps. By following a structured plan and seeking professional advice, you can manage your symptoms and improve your quality of life.

What to Do?

For personalised advice and treatment, please consult your physiotherapist. They will create a tailored plan to address your SIJ and buttock pain, ensuring you regain function and prevent future issues.

Read more: Sacroiliac Joint Pain

SIJ FAQs

  1. What causes SIJ pain?
    • SIJ pain can result from injury, arthritis, pregnancy, or prolonged sitting.
  2. How is SIJ pain diagnosed?
    • Diagnosis involves physical exams, imaging tests, and sometimes diagnostic injections.
  3. What are the symptoms of SIJ pain?
    • Symptoms include lower back pain, buttock pain, and discomfort when sitting or standing.
  4. Can exercise help with SIJ pain?
    • Yes, specific exercises can strengthen muscles and stabilise the SIJ.
  5. Is SIJ pain permanent?
    • With proper treatment, SIJ pain can often be managed and reduced.
  6. When should I see a physiotherapist for SIJ pain?
    • If you experience persistent pain or discomfort in your SIJ, consult a physiotherapist for evaluation and treatment.

Related Articles

  1. Sacroiliac Joint Pain
    • Learn about the causes and treatments for sacroiliac joint pain.
  2. Lower Back Pain
    • Discover effective strategies to manage and treat lower back pain.
  3. Hip Pain
    • Understand the various causes of hip pain and how to treat them.
  4. Arthritis Management
    • Explore comprehensive approaches to managing arthritis pain.
  5. Core Stability Exercises
    • Find out how core stability exercises can benefit your overall health.
  6. Sports Injury Prevention
    • Learn tips and techniques to prevent sports injuries.
  7. Gait Analysis
    • Discover how gait analysis can help improve your walking pattern.
  8. Ankylosing Spondylitis
    • Get detailed information on managing Ankylosing Spondylitis.
  9. Muscle Pain Relief
    • Explore effective methods for relieving muscle pain.
  10. SI Joint Dysfunction: Causes, Symptoms, and Treatments
    • Understand the causes, symptoms, and treatments for SI joint dysfunction.
  11. Managing SI Joint Pain
    • Discover how to manage SI joint pain effectively.
  12. Exercises for SI Joint Pain Relief
    • Learn specific exercises that can help relieve SI joint pain.

John Miller Physiotherapist

Article by John Miller

Managing Severe Neck Pain

When Should You Be Concerned About Neck Pain?

Experiencing neck pain or stiffness is a common issue that can significantly impact your daily life. This discomfort might manifest as sharp pain, dull aches, headaches, or even complete restriction in moving your head. However, it's reassuring to know that most neck pain is mild and often resolves with simple treatments.

severe neck pain
Severe Neck Pain

Identifying Serious Neck Conditions

While it's true that most neck pain isn’t serious, it’s crucial to properly diagnose its cause. This step ensures that your physiotherapist or doctor can provide the most effective treatment. In cases of severe neck pain, immediate professional consultation is advised.

Urgent Cases: When Immediate Action is Needed

In certain situations, neck pain can signify a more severe condition, such as spinal fractures or nerve damage. If you’ve been in an accident or experience intense pain, immediate medical attention is necessary.

The 3 General Red Flags of Neck Pain

Be alert to these warning signs:

  1. Persistent or worsening pain.
  2. Discomfort lasting several weeks.
  3. Presence of at least one other red flag symptom.

Red Flags: Symptoms to Watch For

If you experience any of the following, seek professional advice promptly:

  • Pain upon light tapping on the spine.
  • Unexplained dizziness, nausea, or vomiting.
  • Sudden severe headaches or “thunderclap headaches”.
  • Symptoms of meningitis such as severe headache, neck stiffness, fever, or altered mental state.
  • Unexplained fevers or chills.
  • Remote symptoms like poor hand coordination, weakness, numbness, or gait awkwardness.

Understanding Remote Symptoms

Neck pain may be accompanied by symptoms affecting other parts of the body. These include coordination issues, weakness, numbness, or unusual pains. Weight loss without dieting can also be a concern, potentially indicating a more serious condition like cancer.

Recognising Vascular and Autoimmune Symptoms

Neck pain could be a precursor to more severe conditions like strokes or autoimmune diseases. Key indicators include throbbing pain, family history of autoimmune diseases, morning stiffness, and symptoms in various joints.

What to Do: Seeking Professional Advice

If your neck pain is accompanied by any of the aforementioned symptoms, or if you feel generally unwell, it's important to seek professional medical advice. Your doctor or physiotherapist can offer tailored advice and treatment options, addressing both the pain and its underlying causes.

Conclusion

Neck pain, while common, can sometimes be a symptom of more serious health issues. Recognising the warning signs and seeking timely professional advice is crucial for effective treatment and recovery.

For more detailed information and to book an appointment, visit PhysioWorks.

Remember: Your health is important. Don't ignore persistent or severe neck pain. Consult a physiotherapist to understand the best course of action for your specific condition.

Book an Appointment Online 24-hours

Related Articles

For more information and to understand the latest research and treatments for neck pain, refer to the articles available on the PhysioWorks website: Neck Pain Articles.

John Miller Physiotherapist

Article by John Miller

Neck Treatment

How Can You Relieve Your Neck Pain?

Neck pain is a prevalent issue that affects a large portion of the population at some point in their lives. The discomfort can arise from various sources, making a comprehensive evaluation and neck treatment by a healthcare professional essential.

Diving Deeper into the Causes of Neck Pain

Neck pain can originate from numerous factors including muscle strain, joint degeneration, nerve compression, or even stress and poor posture. In some cases, it may also be a symptom of a more serious condition such as arthritis or disc disease. Understanding the specific cause is crucial as it guides the treatment approach.

The Role of Posture in Neck Health

Poor posture is a significant contributor to neck pain. Spending long hours in front of a computer, looking down at your phone, or even reading in bed can lead to posture-related discomfort. Improving posture through ergonomic adjustments and regular posture-awareness exercises can mitigate these risks. Neck treatment starts with posture improvement.

neck treatment comes in all shapes and forms
Neck Treatment Comes In All Shapes And Forms

How Do You Treat Neck Pain?

Physiotherapists often use a combination of manual therapies such as massage, mobilisation, and manipulation alongside exercise programs tailored to strengthen the neck and improve flexibility. These neck treatments not only alleviate pain but also address the root cause of the discomfort.

The Importance of Regular Exercise

Specific exercises designed to strengthen the neck muscles and improve range of motion are vital. These exercises can be simple neck stretches or strength-building activities that focus on the neck and upper back. Consistently integrating these exercises into your daily routine can significantly improve neck health over time.

Immediate Actions for Acute Pain

For sudden and severe neck pain, such as from a neck spasm or after an injury, immediate care is crucial. While a neck collar might be used in the very short term to stabilise the neck, it's generally recommended to avoid long-term use as it may weaken neck muscles. Instead, physiotherapeutic intervention should be sought to assess the injury and begin appropriate neck treatments.

Chronic Neck Pain Management

If neck pain persists for more than three months, it is considered chronic and requires a more structured neck treatment approach. Early and consistent treatment can prevent the pain from becoming a permanent issue, with strategies tailored to the individual’s specific needs and lifestyle.

Selecting the Right Pillow

The choice of pillow is critical in preventing and managing neck pain. The right pillow should align the neck comfortably with the rest of the spine. Various pillows are designed for different sleeping positions and personal preferences, ensuring that the neck remains in a neutral position throughout the night.

Consulting a Professional

It is always advisable to consult with a physiotherapist for a personalised assessment and tailored neck treatment plan. They can provide specific advice and interventions based on the individual's condition, lifestyle, and overall health goals.

Conclusion

Managing neck pain effectively requires a holistic approach that includes understanding the underlying causes, improving posture, engaging in targeted exercises, and choosing the right ergonomic tools. By addressing these key areas, individuals can significantly enhance their neck health and overall quality of life.

Related Articles

  1. Understanding Neck Pain: Causes, Symptoms, and Treatments
    • Discover the various causes of neck pain and the effective treatments available.
  2. How to Manage Chronic Neck Pain
    • Learn strategies to manage long-term neck pain and improve your quality of life.
  3. The Role of Physiotherapy in Treating Neck Pain
    • Find out how physiotherapy can be a key to relieving your neck pain.
  4. Best Practices for Neck Posture Correction
    • Explore how correcting your posture can significantly reduce neck pain.
  5. Neck Stretches and Exercises: Your Daily Routine
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  6. Choosing the Right Pillow: A Guide for Neck Pain Sufferers
    • Learn why the right pillow is crucial for preventing and managing neck pain.
  7. The Benefits of Neck Massage: Relieving Pain and Tension
    • Understand how neck massages can relieve tension and pain effectively.
  8. When to Consider Surgery for Neck Pain
    • Find out the circumstances under which surgery might be necessary for neck pain.
  9. Preventing Neck Pain While Working From Home
    • Learn tips to prevent neck pain when working from home, especially important in today’s digital age.

John Miller Physiotherapist

Article by John Miller

What Causes Neck Pain Without Injury?

Neck pain without injury frequently plagues the clinic. Experiencing neck pain without any apparent triggering event can be particularly vexing.

This discomfort can often be attributed to microtraumas resulting from factors such as poor posture, inadequate sleeping positions, or repeated strenuous movements throughout the day that exert significant strain on the neck. This pain typically emanates from issues like muscle strains, sprained facet joints, or bulging discs. Rather than stemming from a single injury, these structures suffer injury due to persistent microtrauma.

So, how can one rectify their posture?

The spinal column comprises three distinct curves: a concave curve in the lower back, a convex curve in the mid-back, and another concave curve in the neck. Research has revealed that individuals with neck pain tend to flatten the curve in their neck, leading to a forward head posture.

Injuries in any part of the spine can lead to changes in spinal alignment, which often extend to affect the neck. For instance, lower back pain can result in a flattened lower back curve—a common postural adaptation. This increased demand on the muscles that support the head can eventually lead to muscle spasms, pain, or even muscle failure, allowing the head to shift forward. This is just one of several potential mechanisms, and your physiotherapist can pinpoint previous injuries that may contribute to your neck pain and its impact on your neck.

Furthermore, sustained positions like frequently looking down at a phone, laptops, or during gaming can also lead to a forward head posture. This phenomenon is commonly referred to as "text neck" and is on the rise in our community.

What, then, are the consequences of a forward head posture?

The neck's vertebral level comprises three joints: the vertebral bodies and discs in the front and facet joints in the back, located on either side of the spinal cord.

A forward head posture shifts the weight of the head forward, subjecting the vertebral bodies and neck discs to undue stress. The loss of the neck's natural curve has been associated with conditions like cervical spondylosis, bulging discs, and chronic neck pain.

This condition has garnered the nickname "Nerd Neck."

How should one sleep when experiencing neck pain?

To minimise strain on the front joints of the neck, which include the vertebral body and disc, consider sleeping in a side-lying position as upright as possible, avoiding the fetal position, which can promote a forward head posture. You can achieve this by adjusting your pillow a few inches higher and stretching your neck to meet it.

For those who sleep on their back, choosing a pillow that fully supports the neck is crucial to prevent rotation. The pillow should not be overly thick to prevent encouraging a forward head posture. Nevertheless, sleeping on your back is generally not recommended due to the sustained neck positions required throughout the night.

More Info: Recommended & Healthy Sleeping Postures

Resolving Your Neck Pain

Whether your neck pain arises from sleep positioning, poor posture, or repetitive neck-related movements, a trained physiotherapist is equipped to identify and address the underlying causes. Book to see your physiotherapist for an individualised assessment.

More info: Neck Pain

Neck Pain Products & FAQs

John Miller Physiotherapist

Article by John Miller

Temporomandibular Disorder (TMD)

A physiotherapist in a navy polo shirt stands facing a smiling 40-year-old woman, observing her jaw in a clinical setting to assess temporomandibular joint disorder (TMJ).
A Physiotherapist Assesses A Woman's Jaw For Temporomandibular Joint Disorder (Tmj)

Understanding TMJ Dysfunction

Temporomandibular Joint (TMJ) dysfunction is a complex musculoskeletal disorder that can cause various types of discomfort, affecting many aspects of daily life. This condition arises from a combination of factors impacting the jaw joint and its associated muscles.

Causes of TMJ Dysfunction

TMJ dysfunction arises from various factors that impact the musculoskeletal system. It’s a multifaceted disorder with diverse causes, including:

  • Masticatory muscle dysfunction
  • Derangement or displacement of the TMJ articular disc
  • Nocturnal teeth grinding (bruxism) leading to heightened TMJ pressure and uneven movement
  • Occlusal problems such as poor bite, asymmetry, or retrognathic conditions

Additional contributing elements consist of:

  • Secondary mandibular misalignment due to orthodontic treatment or occlusal appliances
  • Wisdom teeth extraction
  • Prolonged mouth opening during dental procedures
  • Poor cervical posture
  • Myofascial pain
  • Neuropsychological factors
  • Stress
  • Less common triggers like whiplash, trauma, infection, polyarthritic conditions, tumours, and anatomical irregularities

Categorising TMJ Dysfunction

To better manage TMJ dysfunction, it's essential to classify it into distinct clinical categories. These classifications include:

  1. Painful jaw muscle movement
  2. Articular disc displacement
  3. Arthralgia or arthritis

Each category represents a facet of the dysfunction that can arise within the TMJ structure. Understanding these classifications helps healthcare professionals develop targeted treatment plans tailored to each individual's specific symptoms and needs.

Common Symptoms of TMJ Dysfunction

TMJ or jaw discomfort stems from multifaceted origins. Two primary culprits stand out: abnormal jaw opening or closing.

  • Irregular Opening: Most TMJ dysfunction cases involve incomplete or uneven jaw opening. Fortunately, physiotherapy assessment and intervention yield positive outcomes in these instances, as teeth occlusion isn’t a concern.
  • Abnormal Closing: Closing issues can stem from both teeth occlusion and TMJ incapacity to close seamlessly. If it’s primarily joint stiffness or muscle timing, physiotherapy proves highly effective. However, occlusion-related matters may require evaluation by a dental surgeon to assess bite alignment.

What Causes Jaw Clicking?

Jaw clicking signifies articular disc displacement and is often managed by a TMJ physiotherapist. Clicking might occur while opening, closing, or both. It’s important to seek assessment from a TMJ physiotherapist for a precise diagnosis and a tailored treatment plan.

Conclusion

TMJ dysfunction is a multifaceted condition that stems from a combination of intricate factors impacting the temporomandibular joint. From muscle dysfunction to occlusal problems and various contributory elements, the causes of TMJ dysfunction are wide-ranging and interconnected. By understanding these underlying causes and classifications, individuals and healthcare practitioners alike can better navigate the complexities of this condition. Whether through physiotherapy, dental assessment, or other interventions, addressing the multifaceted origins of TMJ dysfunction holds the key to alleviating discomfort and enhancing quality of life.

What to Do?

If you experience symptoms of TMJ dysfunction, consider seeking the professional advice of your physiotherapist. They can provide a thorough assessment and develop a treatment plan tailored to your needs.

FAQs about TMJ Dysfunction

  1. What is Temporomandibular Joint Disorder?
    • Temporomandibular Joint Disorder (TMJ dysfunction) is a condition affecting the jaw joint and muscles, leading to pain and restricted movement.
  2. What are the common symptoms of TMJ dysfunction?
    • Common symptoms include jaw pain, clicking or popping sounds, difficulty opening or closing the mouth, and headaches.
  3. How is TMJ dysfunction diagnosed?
    • Diagnosis involves a physical examination by a healthcare professional, often supplemented with imaging tests such as X-rays or MRI.
  4. What treatments are available for TMJ dysfunction?
    • Treatments include physiotherapy, dental interventions, medications, stress management, and in some cases, surgery.
  5. Can physiotherapy help with TMJ dysfunction?
    • Yes, physiotherapy can be highly effective in managing TMJ dysfunction by improving jaw movement, reducing pain, and addressing contributing factors like poor posture.
  6. When should I see a physiotherapist for TMJ dysfunction?
    • Seek professional advice if you experience persistent jaw pain, clicking sounds, or difficulty with jaw movement. Early intervention can prevent the condition from worsening.

Related Articles

John Miller Physiotherapist

Article by John Miller

TMJ Treatment: What to Do? When?

What is TMJ Treatment?

TMJ (Temporomandibular Joint) dysfunction involves issues that affect the jaw joint and surrounding muscles, leading to pain, discomfort, and difficulty in jaw movement. Treatment focuses on relieving symptoms, improving jaw function, and addressing the underlying causes.

Why Does TMJ Dysfunction Occur?

TMJ dysfunction can result from various factors such as jaw misalignment, injury, arthritis, or habits like teeth grinding (bruxism). Stress, leading to muscle tension, can exacerbate symptoms. Identifying the root cause is essential for effective management and treatment of TMJ dysfunction.

How is TMJ Dysfunction Diagnosed?

Diagnosing TMJ dysfunction involves a comprehensive assessment by a physiotherapist or dentist, which may include a physical examination, patient history, and possibly imaging tests like X-rays or MRIs. The goal is to understand the nature of the dysfunction and create a tailored treatment plan.

Physiotherapist instructing a female patient on jaw exercises for TMJ treatment at PhysioWorks clinic.
A Physiotherapist Helps A Patient Recover Through Jaw Techniques For Tmj Treatment.

What are the Symptoms of TMJ Dysfunction?

Common symptoms include jaw pain, clicking or popping sounds when opening or closing the mouth, difficulty chewing, and limited jaw movement. Additional symptoms may include headaches, ear pain, or neck stiffness.

Investigations and TMJ Treatment

Prompt Relief through TMJ Physiotherapy Treatment

Physiotherapy for TMJ dysfunction can offer immediate relief in many cases. Techniques to reduce muscle tension and improve jaw coordination are often effective from the first session. If further intervention is needed, particularly dental interventions, your physiotherapist may refer you to a dentist or craniomandibular specialist for additional treatment options.

Physiotherapy-Specific TMJ Treatment Interventions:

  1. Manual Therapy Techniques:
    Physiotherapists often use manual therapy techniques to reduce joint stiffness and improve jaw mobility. This may include joint mobilisation, soft tissue mobilisation and massage, plus trigger point therapy and myofascial release techniques specifically targeting the jaw and neck areas.
  2. Jaw Muscle Strengthening Exercises:
    Specific exercises to control and strengthen the muscles around the TMJ are crucial. These exercises may involve isometric and isotonic contractions that help in stabilising the joint, normalising movement patterns and preventing further dysfunction suggest the use of conservative physiotherapy as an initial treatment. Exercises and manual therapy are simple and safe interventions that could potentially be beneficial for patients with myogenic TMD. (Shousha et al 2018)
  3. Postural Training:
    Improving jaw and head on neck posture is essential, especially if poor posture is contributing to TMJ dysfunction. Physiotherapists teach patients exercises that enhance head, jaw and neck alignment to reduce strain on the jaw joint, which can alleviate symptoms.
  4. Neuromuscular & Co-ordination Re-education:
    This involves retraining the muscles and nerves around the TMJ to function correctly. Techniques can help patients become more aware of normal movement patterns, muscle tension and learn how to control it effectively. (Shimada et al 2023)
  5. Dry Needling and Acupuncture:
    These techniques are used to release muscle tension and trigger points around the jaw and neck areas. Dry needling targets specific tight muscles, while acupuncture may help in reducing pain and improving blood flow to the affected area. (Dib-Zakkour et al 2022) found a significant reduction in facial pain and a reduction in muscle activity after needling trigger points.
  6. TMJ Joint Mobilisation:
    Physiotherapists may perform gentle joint mobilisation to enhance the range of motion in the TMJ. This technique helps in reducing joint stiffness and improving overall jaw opening and masticatory function.
  7. TMJ Stabilisation Techniques:
    Exercises aimed at improving jaw and temporomandibular joint stability are often included in the treatment plan. These exercises help in coordinating the muscles that control jaw movement, reducing the risk of joint misalignment, disc derangement, locked articular discs or further injury.
  8. Relaxation Techniques:
    Since stress is a significant contributor to TMJ dysfunction, physiotherapists often incorporate relaxation techniques such as diaphragmatic breathing and progressive muscle relaxation to reduce overall muscle tension.

Dental TMJ Treatment Options:

  1. Occlusion Splints or Bite Plates:
    Dentists often recommend occlusion splints or bite plates for patients who grind their teeth (bruxism) or clench their jaws, which can aggravate TMJ symptoms. These devices help to reduce the strain on the jaw muscles and protect the teeth from excessive wear.
  2. Orthodontic Treatment:
    For patients with jaw misalignment, orthodontic treatment such as braces or Invisalign can correct the alignment and reduce TMJ-related issues. Correcting the bite can significantly alleviate the pressure on the TMJ, leading to a reduction in symptoms.
  3. Dental Restorations:
    In cases where the bite is uneven due to worn teeth, dental restorations such as crowns or bridges may be necessary to restore proper alignment. This can help in redistributing the pressure on the TMJ and relieve discomfort.
  4. Botox Injections:
    Botox injections can be used to relax the muscles around the jaw, reducing tension and pain. This is often recommended for patients who experience severe muscle spasms or chronic bruxism.
  5. Surgical Interventions:
    In severe cases where conservative treatments do not provide relief, surgical options may be considered. These include arthrocentesis (joint washout), arthroscopy, or even open joint surgery to remove obstructions or correct structural abnormalities within the TMJ.

Post-Surgical TMJ Physiotherapy:

Studies focusing on post-operative care for TMJ surgery patients indicate that physiotherapy can enhance recovery outcomes. Specific techniques, such as muscle re-education and graded jaw exercises, were shown to reduce recovery time and improve functional outcomes. (Navarro-Fernández et al 2023)

Why Should You Consult a TMJ Physiotherapist or Dentist?

If you're experiencing jaw joint pain, clicking, or restricted movement, it's essential to consult a TMJ physiotherapist to improve your quality of life. Early intervention can prevent symptoms from worsening and progressing into TMJ osteoarthritis. For issues related to teeth clenching, a visit to your dentist may be necessary.

Interdisciplinary TMJ Treatment Approach:

An article by Brighenti et al 2023 emphasised the importance of an interdisciplinary approach combining physiotherapy with dental interventions for managing complex TMJ disorders. This integrated method showed better outcomes in terms of pain management and functional improvement.

What to Do?

Each case of TMJ dysfunction is unique, and seeking professional advice is crucial. Consulting a TMJ physiotherapist, dentist, or craniofacial specialist can help you receive a personalised treatment plan that addresses your specific needs.

Read More:

TMJ Treatment FAQs

1. What is TMJ treatment?
TMJ treatment addresses temporomandibular joint disorders affecting the jaw. It includes techniques like jaw muscle massages, dry needling, and joint mobilisation.

2. How does a TMJ physiotherapist help?
A TMJ physiotherapist assesses your condition and provides treatments to improve jaw movement, reduce pain, and address muscle and joint control issues.

3. When should I see a TMJ physiotherapist?
Consult a TMJ physiotherapist for jaw joint pain, clicking, or limited motion during mouth opening. For teeth clenching issues, see your dentist.

4. Can physiotherapy help with a locked jaw?
Yes, physiotherapy often helps with a locked jaw through gentle manipulation. If this is ineffective, an Oral Surgeon may be consulted for further treatment.

5. What exercises are recommended for TMJ?
TMJ exercises include posture enhancement, relaxation exercises, muscle lengthening, jaw muscle massages, joint mobilisation, and stabilisation exercises.

6. What should I avoid with TMJ dysfunction?
Avoid uncontrolled wide-opening actions, biting hard foods, gum-chewing, nail-biting, leaning on the jaw, and clenching pens or pencils until you see your TMJ physiotherapist.

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  1. TMJ Pain & Dysfunction
    • Discover causes, symptoms, and effective treatments for TMJ dysfunction.
  2. Jaw Pain Treatment
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  3. Neck Pain Treatment
    • Explore techniques and exercises for relieving neck pain.
  4. TMJ Headache Treatment
    • Find out how physiotherapy can help alleviate jaw headaches.
  5. Posture Correction
    • Improve your posture with practical tips and exercises.
  6. Chronic Pain Management
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  7. Acupuncture for Pain Relief
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  9. Mayo Clinic: TMJ Disorders
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  10. TMJ (Temporomandibular Joint) Disorders
    • Comprehensive guide to TMJ disorders, their causes, and treatment options. Visit Web MD.
  11. Johns Hopkins Medicine - TMJ Disorders
    • Explore the medical approach to diagnosing and treating TMJ disorders.

Social Media Follow-Up

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Article by Shane Armfield

Discussing Dizziness & Vertigo Causes

Understanding Vertigo Causes: How to Find Balance Again

Learn about vertigo causes and how to manage symptoms with effective treatments and lifestyle changes. Discover how vestibular physiotherapy can help.
Effective Treatment For Vertigo Includes Vestibular Physiotherapy, Which Can Help Improve Balance And Reduce Symptoms.

Battling Vertigo and Dizziness

Experiencing vertigo or dizziness can make everyday tasks feel overwhelming. These sensations can disrupt your life, making it difficult to walk, drive, or even stand without feeling off-balance. Identifying the causes behind vertigo and dizziness is crucial to regaining stability and returning to your normal routine.

Common Causes of Vertigo and Dizziness

Inner Ear Disorders

Vertigo often originates from problems within the inner ear. Some common conditions include:

  • Benign Paroxysmal Positional Vertigo (BPPV): This occurs when tiny crystals in your ear canal become dislodged, leading to sudden and brief episodes of dizziness.
  • Meniere’s Disease: Characterised by a fluid imbalance in the inner ear, Meniere’s disease can cause vertigo, tinnitus, and hearing loss.
  • Vestibular Neuritis or Labyrinthitis: These conditions result from inner ear infections that cause inflammation and lead to vertigo.

Cervicogenic Dizziness

Another significant cause is cervicogenic dizziness, which stems from neck issues. Problems in the neck can interfere with sensory signals to the brain, resulting in dizziness. This type of dizziness is often overlooked but is crucial to recognise for effective treatment.

Other Causes of Dizziness

Dizziness can also arise from various other sources, including:

  • Low Blood Pressure: Sudden drops in blood pressure can cause light-headedness.
  • Medications: Some medications list dizziness as a potential side effect.
  • Anxiety or Stress: High stress levels can lead to episodes of dizziness.

Diagnosing Vertigo and Dizziness

Understanding the root causes of vertigo and dizziness helps healthcare professionals tailor treatments to reduce or eliminate these symptoms. This process may involve a series of diagnostic tests to pinpoint the exact cause, ensuring a more effective treatment plan.

Treatment Options

Vestibular Physiotherapy

Vestibular physiotherapy can significantly improve symptoms of vertigo and dizziness. This specialised therapy focuses on exercises and techniques that help retrain the brain and improve balance. It's especially beneficial for conditions like BPPV and Meniere’s disease.

Medical Treatments

In some cases, medication may be prescribed to manage symptoms or treat underlying conditions. For instance, medications can reduce inner ear inflammation or manage anxiety-related dizziness.

Lifestyle Changes

Making certain lifestyle adjustments can also help. Reducing salt intake can manage Meniere’s disease, while regular exercise and stress management techniques can alleviate anxiety-induced dizziness.

Conclusion

Determining the causes of vertigo and dizziness can be complex. While many causes are benign and manageable, some may indicate more serious conditions. It's essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan. Vestibular specialists, including ENT doctors and vestibular physiotherapists, can guide you towards a more stable and balanced life.

What to Do?

If vertigo or dizziness is impacting your life, consider booking an appointment with a physiotherapist. They can assess your symptoms and provide tailored advice. For more information on managing vertigo and dizziness, explore our Vestibular Physiotherapy section and FAQs.

Vertigo FAQs

  1. What is vertigo? Vertigo is a sensation of spinning or dizziness, often caused by inner ear problems.
  2. What causes vertigo? Common causes include BPPV, Meniere’s disease, vestibular neuritis, vestibular migraine and cervicogenic dizziness.
  3. How is vertigo diagnosed? Diagnosis involves a physical examination, medical history review, and specific tests like the Dix-Hallpike maneuver. Consult your physiotherapist or doctor.
  4. Can stress cause vertigo? Yes, high stress and anxiety can lead to dizziness and vertigo episodes.
  5. What is the treatment for vertigo? Treatments include vestibular physiotherapy, medications, and lifestyle changes such as reducing salt intake.
  6. When should I see a doctor or physiotherapist for vertigo? If vertigo significantly impacts your daily life or is accompanied by other symptoms like hearing loss or severe headaches, seek medical advice.

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  1. Cervicogenic Dizziness & Cervical Vertigo - Tips & Treatment: Readers will find detailed explanations about how neck disorders can lead to dizziness and vertigo​​.
  2. Vertigo & Dizziness: This article offers a broad overview of dizziness and vertigo, providing insights into their differences and potential causes​​.
  3. Vestibular Physiotherapy: Balance & Dizziness Solutions: Explore how vestibular physiotherapy can help manage and treat balance issues and dizziness​​.
  4. What Are The Four Types Of Dizziness?: Readers will learn about the four distinct types of dizziness and their respective causes and symptoms​​.
  5. Meniere's Disease: An in-depth look at Meniere's Disease, offering insights into its symptoms, diagnosis, and management​​.
  6. Vestibular Migraine: This page discusses vestibular migraines, highlighting their unique challenges in diagnosis and treatment​​.
  7. Neck Pain: Find comprehensive information on the various causes of neck pain and its relationship to dizziness and vertigo​​.
  8. What Are The Symptoms Of BPPV?: An article detailing the symptoms of Benign Paroxysmal Positional Vertigo (BPPV), helping readers to better understand this condition​​.
  9. Vestibular FAQs: Offers answers to frequently asked questions about vertigo and dizziness, enhancing understanding of these conditions​​.
  10. Vertigo Causes & Dizziness Causes - Advice & Managing Tips: Provides information on the various causes of vertigo and dizziness, along with tips for managing these conditions​​.

Article by Matthew Batch

When Should You Worry About Dizziness?

Dizziness, a common complaint among patients of all ages, can be a disconcerting experience. While often not a sign of a severe condition, certain symptoms accompanying dizziness warrant closer attention. This article, from a physiotherapist's perspective, aims to guide you through understanding and managing dizziness.

Physiotherapy session for mild dizziness with patient receiving head treatment from physiotherapist in navy polo.
Professional Physiotherapy For Dizziness

What is Dizziness?

Dizziness is a sensation of unsteadiness or a feeling of movement within the head. It encompasses various feelings, such as light-headedness, imbalance, or a false sense of spinning. Understanding the nature of your dizziness is the first step in addressing it.

Recognising Serious Symptoms

Dizziness typically isn't a cause for alarm. However, if accompanied by symptoms like double vision, difficulty speaking, sudden leg weakness, or persistent nausea, it’s crucial to seek medical attention. These could indicate more serious underlying health issues.

When to Seek Help

If your dizziness is recurrent, worsening, or accompanied by the aforementioned symptoms, consult a healthcare professional. Physiotherapists can play a crucial role in diagnosing and treating balance-related issues. They offer exercises and strategies to manage and alleviate symptoms.

Latest Research

Recent studies indicate that targeted physiotherapy can significantly improve balance and reduce dizziness-related symptoms. Techniques such as vestibular rehabilitation have shown promise in treating conditions like benign paroxysmal positional vertigo (BPPV).

Consulting Your Physiotherapist or Doctor

When experiencing persistent dizziness, a physiotherapist or doctor can provide a tailored treatment plan. They may perform specific assessments to determine the cause of your dizziness and suggest appropriate exercises or treatments.

What to Do?

  1. Monitor your symptoms and note any triggers or patterns.
  2. Schedule a consultation with your physiotherapist or doctor.
  3. Follow prescribed exercises and attend regular follow-up sessions.

Conclusion

Dizziness, while common, can sometimes signal more serious conditions. Understanding when to seek help is crucial. With the guidance of a physiotherapist, managing and overcoming dizziness is achievable.

Related Articles

  1. Dealing with Persistent Dizziness: Physiotherapy Approaches
  2. Understanding Vertigo: Causes and Treatments
  3. Navigating Balance Issues: Physiotherapy Insights

John Miller Physiotherapist

Article by John Miller

Vertigo and Dizziness: A Physiotherapist's Guide

How Do You Know If You Have Vertigo or Dizziness?

Experiencing dizziness can be both unsettling and confusing. This feeling often raises the question: Is it vertigo or just dizziness? Dizziness encompasses a range of sensations, including feeling faint, woozy, weak, or unsteady. Vertigo, however, is a specific type of dizziness that gives you the sensation that you or your surroundings are spinning or moving.

To determine the specific cause of dizziness, a healthcare professional must conduct a proper evaluation and diagnosis.

What are the Top 3 Causes of Dizziness?

  1. Inner Ear Disorders: The most common culprits include Benign Paroxysmal Positional Vertigo (BPPV), Meniere’s disease, and vestibular neuritis, which directly impact your balance.
  2. Neurological Issues: Conditions such as migraines and strokes affect the brain's processing of balance and spatial orientation, leading to dizziness.
  3. Blood Pressure Changes: Both high and low blood pressure can disrupt your equilibrium, causing a dizzy sensation.

What are the Red Flags for Dizziness?

It's crucial to recognise when dizziness might signify a more serious issue. Pay attention to these warning signs:

  • Sudden, severe headache
  • Chest pain or heart palpitations
  • Difficulty speaking or understanding speech
  • Vision changes, including double vision
  • Weakness or numbness, especially on one side of the body
  • Loss of consciousness or fainting

How to Stop Feeling Dizzy

Here are some immediate actions you can take:

  • Sit or lie down to prevent falls and rest until the dizziness passes.
  • Hydrate, as dehydration can exacerbate dizziness.
  • Avoid sudden movements, especially rapid changes in position.
  • Focus on a fixed point to help stabilise your surroundings.

When Dizziness is Serious!

Dizziness warrants professional attention when it's:

  • Accompanied by any of the red flags mentioned above.
  • Persistent, recurring, or progressively worsening.
  • Impacting your ability to perform daily activities.

What is Vertigo?

Vertigo is a specific type of dizziness characterised by the sensation that you, or the environment around you, is spinning or moving. Unlike general dizziness, which can include feeling faint, lightheaded, or unsteady, vertigo gives a false sense of rotational movement. This condition can be quite disorienting and is often accompanied by other symptoms such as nausea, vomiting, balance problems, and sometimes hearing loss.

Vertigo is usually a symptom of an underlying condition, often related to problems in the inner ear or vestibular system, which is responsible for helping the brain process information about motion, equilibrium, and spatial orientation. Disorders in this system can lead to vertigo, giving the affected individual the disturbing sense of spinning or moving, even when they are perfectly still.

Why Do People Get Vertigo?

Vertigo can stem from various causes, including:

  • Inner Ear Disorders: The most common cause is BPPV, where tiny calcium particles clump up in canals of the inner ear. Other causes include Meniere's disease (inner ear fluid build-up) and vestibular neuritis (inner ear nerve inflammation).
  • Neurological Issues: Such as a stroke or multiple sclerosis affecting the parts of the brain that interpret balance and spatial information.
  • Head or Neck Injuries: Trauma to the head or neck can damage the inner ear or brain, leading to vertigo.
  • Medications: Some drugs can cause vertigo as a side effect.

How Long Does Vertigo Usually Last?

The duration of vertigo depends on its cause:

  • BPPV: Episodes are brief, typically lasting less than one minute. However, the condition might recur sporadically.
  • Meniere's Disease: Attacks can last from 20 minutes to 24 hours.
  • Vestibular Neuritis: Symptoms may be more persistent, gradually improving over several days to weeks.

What Is the Best Therapy for Vertigo?

The best therapy depends on the underlying cause but generally includes:

  • Vestibular Rehabilitation Therapy (VRT): This is considered one of the most effective treatments for many types of vertigo. It involves exercises designed to retrain the brain to recognise and process signals from the vestibular system and coordinate with visual and proprioceptive cues.
  • Canalith Repositioning Maneuvers (like the Epley Manoeuver): Specifically effective for BPPV, these manoeuvers help to move the dislodged calcium crystals that cause vertigo.
  • Dietary Changes and Lifestyle Adjustments: For conditions like Meniere's disease, reducing salt intake and managing stress can be beneficial.
  • Medication: In some cases, medications are used to reduce symptoms like nausea or to address underlying conditions.

How Do You Get Vertigo to Go Away?

To alleviate vertigo, treatments focus on the underlying cause. Here are some common approaches:

  • Epley Manoeuver: The Epley manoeuvre is one of several BPPV treatment options. It involves a series of head and body movements performed by a healthcare professional to reposition crystals in the inner ear that cause BPPV. However there are three vestibular canals in each ear. While the Epley manoeuvre is highly successful for resolving the otolith crystals for the posterior canal, it may not assist crystal within the horizontal or anterior canals. For the best and quickest solution, please seek the advice of a vestibular physiotherapist.
  • Medication: Drugs to relieve symptoms like nausea or to treat underlying conditions causing vertigo.
  • Vestibular Rehabilitation Therapy (VRT): A specialised form of physiotherapy designed to strengthen the vestibular system and improve balance.
  • Lifestyle Adjustments: Reducing intake of caffeine, alcohol, and tobacco; staying hydrated; and managing stress.
Person-enjoying-relief-from-vertigo-after-physiotherapy"
Finding Balance After Vertigo Treatment

Related Articles

  1. Cervicogenic Dizziness & Cervical Vertigo - Tips & Treatment: Offers insights into how neck disorders can cause dizziness and vertigo​​.
  2. Vestibular Rehabilitation Therapy (VRT): Explains how vestibular physiotherapy can assist in managing balance issues and dizziness​​.
  3. What Are The Symptoms Of BPPV?: Details the symptoms of Benign Paroxysmal Positional Vertigo and its treatment​​.
  4. Vestibular Migraine: Discusses the challenges in diagnosing and treating vestibular migraines, which affect balance and spatial orientation​​.
  5. Vertigo Causes & Dizziness Causes - Advice & Managing Tips: Provides information on various causes of vertigo and dizziness, along with management tips​​.
  6. Vestibular FAQs: Offers answers to frequently asked questions about vertigo and dizziness, enhancing understanding of these conditions​​.
  7. How to Improve Balance: A guide on improving balance through exercises, highlighting the significance of balance assessments and fall prevention​​.
  8. What Are The Four Types Of Dizziness?: Explains the four distinct types of dizziness, their causes, and symptoms​​.

Article by Matthew Batch

What Are The Four Types Of Dizziness?

A 60-year-old woman experiencing mild dizziness, illustrating slight imbalance and mild discomfort in a park setting.
A Woman Experiencing Mild Dizziness.

Experiencing dizziness can be disorienting and sometimes alarming. It's important to understand the different types of dizziness and their causes to seek the appropriate treatment. This FAQ will explain the four types of dizziness, helping you identify symptoms and understand potential underlying issues.

Why Do People Experience Dizziness?

Dizziness can result from various underlying conditions, each with unique causes and symptoms. It's essential to recognise these differences for accurate diagnosis and effective treatment.

1.Vertigo

Vertigo involves a spinning sensation or false movement perception even when stationary. It often stems from issues within the vestibular system in the inner ear.

2. Dysequilibrium

Dysequilibrium is the feeling of being off balance. It can be caused by brain changes, nerve issues, or musculoskeletal problems.

3. Presyncope

Presyncope is the sensation of impending fainting, often linked to cardiovascular problems.

4. Lightheadedness

Lightheadedness, or a general feeling of giddiness, is sometimes due to hyperventilation or anxiety disorders.

How Is Dizziness Diagnosed?

Diagnosing dizziness involves a thorough assessment by healthcare professionals to determine the root cause.

Vestibular Physiotherapy

Vestibular physiotherapists can help diagnose and treat vestibular issues.

Medical Consultation

Seeing a trusted doctor is crucial for a proper diagnosis and treatment plan.

What Are the Treatment Options for Dizziness?

Treatment depends on the underlying cause and can vary from lifestyle changes to specialised therapies.

Lifestyle Changes

Simple changes can help manage dizziness effectively.

Therapies and Rehabilitation

Therapeutic approaches can significantly improve symptoms of dizziness.

Conclusion

Understanding the types and causes of dizziness is crucial for effective treatment. If you experience persistent dizziness, consult a healthcare professional to identify the underlying cause and explore appropriate treatment options.

Dizziness FAQs

1. What are the four types of dizziness?
The four types are vertigo, dysequilibrium, presyncope, and lightheadedness, each with different causes and symptoms.

2. Why do I feel dizzy all the time?
Chronic dizziness can result from vestibular issues, cardiovascular problems, or anxiety disorders. Consult a healthcare professional for a thorough assessment.

3. How is dizziness treated?
Treatment varies based on the cause and can include lifestyle changes, vestibular physiotherapy, and medical interventions.

4. When should I see a doctor for dizziness?
Seek medical advice if dizziness is persistent, severe, or accompanied by other symptoms like fainting or severe headaches.

5. Can anxiety cause dizziness?
Yes, anxiety can lead to dizziness through hyperventilation and other stress-related mechanisms.

6. What is the difference between vertigo and lightheadedness?
Vertigo involves a spinning sensation, while lightheadedness feels like general giddiness or disconnection from the environment.

Follow Us for Free Tips

For more tips on managing dizziness and improving your balance, follow us on social media. Stay updated with the latest advice and support from our expert physiotherapists.

Related Articles

  1. What is Vertigo?: Explains vertigo, its causes, and treatments.
  2. Vestibular System Disorders: Discusses disorders affecting the vestibular system and how they lead to vertigo.
  3. Balance Disorders: Learn about various balance disorders and their symptoms.
  4. Dizziness Rehabilitation: Explains rehabilitation techniques for dizziness.
  5. Mayo Clinic - Dizziness: Comprehensive overview of dizziness, its causes, and treatments.
  6. Johns Hopkins Medicine - Dizziness and Vertigo: Detailed information on the causes and management of dizziness and vertigo.
  7. Cleveland Clinic - Dizziness: Discusses various causes of dizziness and available treatment options.
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