POSTURAL PAIN SYNDROME Definition Postural pain syndrome is
![POSTURAL PAIN SYNDROME POSTURAL PAIN SYNDROME](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-1.jpg)
![Definition �Postural pain syndrome is pain that develops in the cervical, thoracic or the Definition �Postural pain syndrome is pain that develops in the cervical, thoracic or the](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-2.jpg)
![](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-3.jpg)
![Postural pain syndrome �Includes: �Postural overload � Causes unbalanced mechanical load. �Postural overexertion � Postural pain syndrome �Includes: �Postural overload � Causes unbalanced mechanical load. �Postural overexertion �](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-4.jpg)
![Pathophysiology �There is no significant damage or trauma to tissue. �Pain is only experienced Pathophysiology �There is no significant damage or trauma to tissue. �Pain is only experienced](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-5.jpg)
![Causes and Risk factors �Some of the most common causes: �Slouching in chairs �Driving Causes and Risk factors �Some of the most common causes: �Slouching in chairs �Driving](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-6.jpg)
![Causes and Risk factors �Musculoskeletal problems �Work-related back problems �Lower back pain �Repetitive strain Causes and Risk factors �Musculoskeletal problems �Work-related back problems �Lower back pain �Repetitive strain](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-7.jpg)
![Causes and Risk factors �Common risk factors: �Being unfit �Being overweight �Jobs involving lifting, Causes and Risk factors �Common risk factors: �Being unfit �Being overweight �Jobs involving lifting,](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-8.jpg)
![Diagnosis �Difficult for doctors to find the exact cause �Pain usually starts a day Diagnosis �Difficult for doctors to find the exact cause �Pain usually starts a day](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-9.jpg)
![Signs and symptoms �Usually patients with postural pain syndrome have normal and pain-free movement. Signs and symptoms �Usually patients with postural pain syndrome have normal and pain-free movement.](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-10.jpg)
![Treatment �Physiotherapy may include: �Soft tissue massage �Electrotherapy e. g. ultrasound �Postural tapping �The Treatment �Physiotherapy may include: �Soft tissue massage �Electrotherapy e. g. ultrasound �Postural tapping �The](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-11.jpg)
![Treatment �Teach patient about kinetic handling. �Correct biomechanics. �Clinical Pilates Treatment �Teach patient about kinetic handling. �Correct biomechanics. �Clinical Pilates](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-12.jpg)
![Do’s and Don’ts �Do’s: (sitting) �Sit in a chair that supports your back in Do’s and Don’ts �Do’s: (sitting) �Sit in a chair that supports your back in](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-13.jpg)
![Do’s and Don’ts �Don’ts: (sitting) �Slump sit �Lean forward and downward to reach your Do’s and Don’ts �Don’ts: (sitting) �Slump sit �Lean forward and downward to reach your](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-14.jpg)
![Do’s and Don’ts �Do’s: (standing) �Put one foot up and change position often. �Work Do’s and Don’ts �Do’s: (standing) �Put one foot up and change position often. �Work](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-15.jpg)
![X-Rays X-Rays](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-16.jpg)
![Evidence based article Getting your back to work: pain relief- where to start? Evidence based article Getting your back to work: pain relief- where to start?](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-17.jpg)
![Evidence based article �Focus is on dental health care workers poor posture due to Evidence based article �Focus is on dental health care workers poor posture due to](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-18.jpg)
![Evidence based article �Mc. Kenzie characterized mechanical pain as; �Pain that can be constant Evidence based article �Mc. Kenzie characterized mechanical pain as; �Pain that can be constant](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-19.jpg)
![Evidence based article �He proposed three nonspecific mechanical syndromes; �Postural pain syndrome �Dysfunction syndrome Evidence based article �He proposed three nonspecific mechanical syndromes; �Postural pain syndrome �Dysfunction syndrome](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-20.jpg)
![Evidence based article �Dental workers usually work in a slouched position. �Slouched sitting causes Evidence based article �Dental workers usually work in a slouched position. �Slouched sitting causes](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-21.jpg)
![Evidence based article �We often see significant weakness of the back extensor and post. Evidence based article �We often see significant weakness of the back extensor and post.](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-22.jpg)
![Evidence based article �Eg. of an exercise; �Slouch-overcorrect � From an extreme, slouched position Evidence based article �Eg. of an exercise; �Slouch-overcorrect � From an extreme, slouched position](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-23.jpg)
![Evidence based article �Indications �Periods in the day when no pain is experienced �Pain Evidence based article �Indications �Periods in the day when no pain is experienced �Pain](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-24.jpg)
![Evidence based article �Contra indications �A first episode of back pain that persists for Evidence based article �Contra indications �A first episode of back pain that persists for](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-25.jpg)
![Feeding an individual a fish takes care of their hunger, while teaching them to Feeding an individual a fish takes care of their hunger, while teaching them to](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-26.jpg)
![References � Caruso, T. J. and Pleva, D. J. 2006. Getting your back to References � Caruso, T. J. and Pleva, D. J. 2006. Getting your back to](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-27.jpg)
![References �http: //www. google. co. za/imgres? q=postural+pain+sy ndrome&um=1&hl=en&sa=N&biw=691&bih=352&tbm =isch&tbnid=Tfs 1 j. Z 5 Tg. References �http: //www. google. co. za/imgres? q=postural+pain+sy ndrome&um=1&hl=en&sa=N&biw=691&bih=352&tbm =isch&tbnid=Tfs 1 j. Z 5 Tg.](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-28.jpg)
![References �http: //www. google. co. za/imgres? q=postural+pain+sy ndrome&start=82&um=1&hl=en&sa=N&biw=1117&bih= 703&tbm=isch&tbnid=w. VGjb 5 CM 624 Y References �http: //www. google. co. za/imgres? q=postural+pain+sy ndrome&start=82&um=1&hl=en&sa=N&biw=1117&bih= 703&tbm=isch&tbnid=w. VGjb 5 CM 624 Y](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-29.jpg)
- Slides: 29
![POSTURAL PAIN SYNDROME POSTURAL PAIN SYNDROME](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-1.jpg)
POSTURAL PAIN SYNDROME
![Definition Postural pain syndrome is pain that develops in the cervical thoracic or the Definition �Postural pain syndrome is pain that develops in the cervical, thoracic or the](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-2.jpg)
Definition �Postural pain syndrome is pain that develops in the cervical, thoracic or the lumbar area due to poor posture maintained over a long period of time. Excessive tension is placed on these areas. �Pain is relieved with activity.
![](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-3.jpg)
![Postural pain syndrome Includes Postural overload Causes unbalanced mechanical load Postural overexertion Postural pain syndrome �Includes: �Postural overload � Causes unbalanced mechanical load. �Postural overexertion �](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-4.jpg)
Postural pain syndrome �Includes: �Postural overload � Causes unbalanced mechanical load. �Postural overexertion � Intensity and duration of work is higher than the capacity of the muscles. �Vibration syndrome � Situations where continual compression is exerted on the structures. �Postural pain � Bad posture in static positions.
![Pathophysiology There is no significant damage or trauma to tissue Pain is only experienced Pathophysiology �There is no significant damage or trauma to tissue. �Pain is only experienced](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-5.jpg)
Pathophysiology �There is no significant damage or trauma to tissue. �Pain is only experienced during activities where constant stress is placed on normal tissue. �When working at a desk, the sustained posture results in reduced circulation to the neck and upper back muscles, which then become tired and fatigued. �These muscles fail to support good upright posture and eventually become overstretched and weak.
![Causes and Risk factors Some of the most common causes Slouching in chairs Driving Causes and Risk factors �Some of the most common causes: �Slouching in chairs �Driving](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-6.jpg)
Causes and Risk factors �Some of the most common causes: �Slouching in chairs �Driving in hunched positions �Standing badly �Lifting incorrectly �Sleeping on sagging mattresses �Being unfit �Inactivity and the wrong sort of movement �Head and neck strain
![Causes and Risk factors Musculoskeletal problems Workrelated back problems Lower back pain Repetitive strain Causes and Risk factors �Musculoskeletal problems �Work-related back problems �Lower back pain �Repetitive strain](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-7.jpg)
Causes and Risk factors �Musculoskeletal problems �Work-related back problems �Lower back pain �Repetitive strain injury �Carpal tunnel syndrome
![Causes and Risk factors Common risk factors Being unfit Being overweight Jobs involving lifting Causes and Risk factors �Common risk factors: �Being unfit �Being overweight �Jobs involving lifting,](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-8.jpg)
Causes and Risk factors �Common risk factors: �Being unfit �Being overweight �Jobs involving lifting, bending or moving heavy objects �Being seated in one place for long periods of time �Frequent use of a telephone without a headset �High levels of stress, anxiety and tension
![Diagnosis Difficult for doctors to find the exact cause Pain usually starts a day Diagnosis �Difficult for doctors to find the exact cause �Pain usually starts a day](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-9.jpg)
Diagnosis �Difficult for doctors to find the exact cause �Pain usually starts a day or two after the injury has occurred or only after several years.
![Signs and symptoms Usually patients with postural pain syndrome have normal and painfree movement Signs and symptoms �Usually patients with postural pain syndrome have normal and pain-free movement.](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-10.jpg)
Signs and symptoms �Usually patients with postural pain syndrome have normal and pain-free movement. �When poor posture is maintained for a long time, pain is experienced.
![Treatment Physiotherapy may include Soft tissue massage Electrotherapy e g ultrasound Postural tapping The Treatment �Physiotherapy may include: �Soft tissue massage �Electrotherapy e. g. ultrasound �Postural tapping �The](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-11.jpg)
Treatment �Physiotherapy may include: �Soft tissue massage �Electrotherapy e. g. ultrasound �Postural tapping �The use of posture support e. g. braces �Mobilisation �Dry needling �Exercises to improve strength of weak muscles. �Improve posture �Stretch short and strong muscles.
![Treatment Teach patient about kinetic handling Correct biomechanics Clinical Pilates Treatment �Teach patient about kinetic handling. �Correct biomechanics. �Clinical Pilates](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-12.jpg)
Treatment �Teach patient about kinetic handling. �Correct biomechanics. �Clinical Pilates
![Dos and Donts Dos sitting Sit in a chair that supports your back in Do’s and Don’ts �Do’s: (sitting) �Sit in a chair that supports your back in](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-13.jpg)
Do’s and Don’ts �Do’s: (sitting) �Sit in a chair that supports your back in a slightly extended position. �Hips and knees in 90°. �Shoulders in retraction and chin tucked in to minimise postural strain. �Feet should be firmly placed on the ground.
![Dos and Donts Donts sitting Slump sit Lean forward and downward to reach your Do’s and Don’ts �Don’ts: (sitting) �Slump sit �Lean forward and downward to reach your](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-14.jpg)
Do’s and Don’ts �Don’ts: (sitting) �Slump sit �Lean forward and downward to reach your work. �Sit with your neck forward for an extended period of time(move around every 20 minutes).
![Dos and Donts Dos standing Put one foot up and change position often Work Do’s and Don’ts �Do’s: (standing) �Put one foot up and change position often. �Work](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-15.jpg)
Do’s and Don’ts �Do’s: (standing) �Put one foot up and change position often. �Work at a comfortable height. �Don’ts: (Standing) �Wear high-heel, hard heeled or platform shoes for long periods of time. �Stand in one position for too long. �Stand with knees locked. �Stand bent forward at your waist with your work in a low position.
![XRays X-Rays](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-16.jpg)
X-Rays
![Evidence based article Getting your back to work pain relief where to start Evidence based article Getting your back to work: pain relief- where to start?](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-17.jpg)
Evidence based article Getting your back to work: pain relief- where to start?
![Evidence based article Focus is on dental health care workers poor posture due to Evidence based article �Focus is on dental health care workers poor posture due to](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-18.jpg)
Evidence based article �Focus is on dental health care workers poor posture due to their job leading to back and shoulder pain. �Presents a classification system for the treatment of spinal pain created by physical therapist Robin Mc. Kenzie. �The approach has had favourable clinical acceptance among therapists and patients and offers a conservative alternative to treating back and neck pain.
![Evidence based article Mc Kenzie characterized mechanical pain as Pain that can be constant Evidence based article �Mc. Kenzie characterized mechanical pain as; �Pain that can be constant](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-19.jpg)
Evidence based article �Mc. Kenzie characterized mechanical pain as; �Pain that can be constant or intermittent �Limited range of motion of the back or neck that improves as symptoms diminish �Movements in certain “incorrect, ” or exacerbating directions increases the pain while simultaneously decreasing range of motion in the opposite direction.
![Evidence based article He proposed three nonspecific mechanical syndromes Postural pain syndrome Dysfunction syndrome Evidence based article �He proposed three nonspecific mechanical syndromes; �Postural pain syndrome �Dysfunction syndrome](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-20.jpg)
Evidence based article �He proposed three nonspecific mechanical syndromes; �Postural pain syndrome �Dysfunction syndrome �Derangement syndrome
![Evidence based article Dental workers usually work in a slouched position Slouched sitting causes Evidence based article �Dental workers usually work in a slouched position. �Slouched sitting causes](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-21.jpg)
Evidence based article �Dental workers usually work in a slouched position. �Slouched sitting causes the spinal musculature to diminish its activity and place increasing stress on the posterior ligamentous structures of the spine resulting in increased length or “creep” �Bogduk defines creep as a constant force, that if left applied for a prolonged period to collagen tissue will result in further movement or length of the ligamentous tissue.
![Evidence based article We often see significant weakness of the back extensor and post Evidence based article �We often see significant weakness of the back extensor and post.](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-22.jpg)
Evidence based article �We often see significant weakness of the back extensor and post. scapula musculature. �Tightness of the ant. chest and shoulder musculature in individuals having back and neck pain.
![Evidence based article Eg of an exercise Slouchovercorrect From an extreme slouched position Evidence based article �Eg. of an exercise; �Slouch-overcorrect � From an extreme, slouched position](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-23.jpg)
Evidence based article �Eg. of an exercise; �Slouch-overcorrect � From an extreme, slouched position to an exaggerated, lordotic posture.
![Evidence based article Indications Periods in the day when no pain is experienced Pain Evidence based article �Indications �Periods in the day when no pain is experienced �Pain](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-24.jpg)
Evidence based article �Indications �Periods in the day when no pain is experienced �Pain is confined to areas above the knee �Symptoms are worse when sitting and generally better with standing or walking �Symptoms are worse when bending and with inactivity �If symptoms are better when in supine �Several episodes of back pain have been experienced over the past few years.
![Evidence based article Contra indications A first episode of back pain that persists for Evidence based article �Contra indications �A first episode of back pain that persists for](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-25.jpg)
Evidence based article �Contra indications �A first episode of back pain that persists for more than ten days �Bowel and bladder symptoms associated with back pain �Back or neck pain caused by trauma �Leg pain below the knee including numbness, tingling or weakness �Malaise �Pain that disturbs sleep
![Feeding an individual a fish takes care of their hunger while teaching them to Feeding an individual a fish takes care of their hunger, while teaching them to](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-26.jpg)
Feeding an individual a fish takes care of their hunger, while teaching them to fish allows them to survive for life. (unknown)
![References Caruso T J and Pleva D J 2006 Getting your back to References � Caruso, T. J. and Pleva, D. J. 2006. Getting your back to](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-27.jpg)
References � Caruso, T. J. and Pleva, D. J. 2006. Getting your back to work: pain relief— where to start? International Journal of Mechanical Diagnosis and Therapy. 1(1): 18 -28. http: //www. mdtjapan. org/therapist/2006 IJMDT_1%20(1). pdf#page=19 � Retrieved on 4 June 2012. � http: //ebookbrowse. com/postural-pain-syndrome-jan 08 -pdf-d 79305710 � http: //www. bbc. co. uk/health/physical_health/conditions/in_depth/back_pai n/causesback_types. shtml#top � http: //www. physicaltherapy. zoomshare. com/5. html � http: //www. physioadvisor. com. au/8390250/postural-syndrome-posture-painpoor-posture-. htm
![References http www google co zaimgres qposturalpainsy ndromeum1hlensaNbiw691bih352tbm ischtbnidTfs 1 j Z 5 Tg References �http: //www. google. co. za/imgres? q=postural+pain+sy ndrome&um=1&hl=en&sa=N&biw=691&bih=352&tbm =isch&tbnid=Tfs 1 j. Z 5 Tg.](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-28.jpg)
References �http: //www. google. co. za/imgres? q=postural+pain+sy ndrome&um=1&hl=en&sa=N&biw=691&bih=352&tbm =isch&tbnid=Tfs 1 j. Z 5 Tg. N 9 n. M: &imgrefurl=http: //www. back-inaction. co. uk/Pages/Back. Pain. htm&docid=T 3 pa 1 ZZ_UI TSVM&imgurl=http: //www. back-inaction. co. uk/Images/Pages/Back_Pain/image 003. jpg& w=315&h=400&ei=e. Rj. GT 9 az. DYy. Yh. Qe 17 Xa. BQ&zoom=1 �http: //www. the-good-doctor. net/posture-and-formsof-middle-back-pain/
![References http www google co zaimgres qposturalpainsy ndromestart82um1hlensaNbiw1117bih 703tbmischtbnidw VGjb 5 CM 624 Y References �http: //www. google. co. za/imgres? q=postural+pain+sy ndrome&start=82&um=1&hl=en&sa=N&biw=1117&bih= 703&tbm=isch&tbnid=w. VGjb 5 CM 624 Y](https://slidetodoc.com/presentation_image_h/9ed24697a738300db44b98dd0383a9de/image-29.jpg)
References �http: //www. google. co. za/imgres? q=postural+pain+sy ndrome&start=82&um=1&hl=en&sa=N&biw=1117&bih= 703&tbm=isch&tbnid=w. VGjb 5 CM 624 Y 3 M: &imgrefurl =http: //erikdalton. com/media/publishedarticles/forward-headposture/&docid=x. JOUvc 0 Xq. BE 0 KM&imgurl=http: //er ikdalton. com/images/Fig 3_disk_W. jpg&w=300&h=39 4&ei=Hhf. GT 6 us. Eo 4 h. Af 3 nu. C 9 BQ&zoom=1&iact=hc&vpx=877&vpy=312& dur=4188&hovh=257&hovw=196&tx=137&ty=165&sig=1 12601856111257986843&page=5&tbnh=154&tbnw=118&n dsp=21&ved=1 t: 429, r: 10, s: 82, i: 26
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