DOMS is the commonly used abbreviation of ‘Delayed Onset Muscle Soreness’ and is the pain and stiffness felt in muscles a while after unusual or strenuous exercise.
Felt most strongly from 24 to 72 hours after exercise, it is thought to be caused by lengthening or ‘Eccentric’ exercise, which causes ‘micro-trauma’ or small-scale damage to muscle fibres. The muscle adapts rapidly after exercise, to prevent muscle damage and soreness, if the exercise is repeated.
There are a number of technical differences between disc protrusions, bulges, herniations and prolapses but for the purpose of this article, we’ll group these together as disc herniations. The specific name given to a disc condition reflects mainly the severity of the degeneration and as far as Physiotherapy is concerned, it makes very little difference. We simply aim to get our patients pain-free for as long as possible to avoid surgery and maintain function.
Widespread pain to the muscles of the body, unusually high levels of fatigue, tender points in multiple areas and great sensitivity to seemingly normal things, are all indicative of someone suffering from the disorder known as Fibromyalgia.
Musculoskeletal pain is pain caused by injury to the bones, joints, muscles, ligaments, tendons and/or nerves. The pain can be either acute or chronic and either localised or widespread. It is basically a summary of all the types of physical pain a person could suffer from.
Overuse injuries, as the term implies, are the result of the gradual, repetitive action and overuse of certain muscles, tendons or bones, as opposed to acute injuries, like a sprained ankle, which happen instantaneously. They can happen through sports, be work related, or through constant repetition of any physical activity. As they happen over a period of time, there are generally four stages to Overuse injuries which are:
When a nerve becomes entrapped or ‘pinched’, usually because of injury to structures next to the nerve, this is referred to as a ‘Pinched nerve’, where nerve pain, damage and associated symptoms can occur. Self-diagnosed pinched nerves rarely need to be operated on and even upon MRI diagnosis, the rehabilitation of the poor biomechanics (often the cause of your dysfunction) have been found to be an effective treatment option with a significantly lower risk profile. Symptoms could be created by muscle tension, so the nerve is often unaffected, even with feeling symptoms of tingling, pins and needles and pain. But don’t underestimate it, the perception of a pinched nerve can and should be comprehensively assessed by an experienced Physiotherapist. Should there be any damage beyond that with which a Physiotherapist can assist, you will be referred to a surgeon for a second opinion.
Also called Scheuermann's Kyphosis, Scheuermann's Disease is a growth condition in which the normal curve of the spine in the upper back is increased. When the front aspect of the vertebral bones doesn’t grow as fast as the back of these bones, the vertebrae become wedge-shaped and this forms a hunched back which typically occurs in the thoracic spine.
The spine of someone with Scoliosis may look more like an ‘S’ shape than the typical straight line. Up to 2% of individuals may have some form of scoliosis but a mere 10% of those are severe. These spinal curves, presenting mostly in adolescence, are usually more prominent where the upper back meets the lower back. Screening the spine for Scoliosis would usually be done between 11 and 14 years of age.
Along the length of the spine there are small joints on the left and right of each link between the vertebrae. These are your facet joints – one pair of joint surfaces face up and one faces down. The pair above joins the pair below at each level of the spine.
“Not a serious accident” you think, but your body has been whipped back and forth in an unexpected, jarring motion and suddenly, sometimes unknowingly, you have become a victim of ‘Whiplash.’ Make no mistake, no accident or seemingly unimportant ‘bumper bashing’ is small enough to assume that you don’t have whiplash. Also, don’t be fooled into thinking Its ‘ONLY whiplash’ as so many doctors may call it. Whiplash is serious and should be respected even though the dysfunction and symptoms are often delayed.
Shoulder and Arm
Elbow and Forearm
Wrist and Hand
Upper Back and Chest
Hip and Thigh
Knee and Leg
Ankle and Foot
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082 334 9028
Valley Centre Offices
396 Jan Smuts Avenue
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You must not rely on the information on this site as an alternative to medical advice from your physiotherapist or other medical practitioner. If you have any specific questions about any medical matter, you should consult directly with your physiotherapist or other medical practitioner. If you think you may be suffering from any condition, you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice or discontinue medical treatment because of information on our website.