Non- Pharmacological (medication) treatment for chronic low back pain- what works best?
A recent pre print article in The Lancet looking at 77 research randomized control trials (which are deemed a high quality of research trial) concluded that best treatments include massage and exercise. A combination is often the most successful approach- massage to reduce pain then exercise to increase movement and strength.
Resistance training in children
It is a common misconception that resistance training stunts growth and is damaging to children.
In fact, research shows that resistance training increases bone strength which decreases the risk of future sports related injuries (Alan Bishop, Director of Sports Performance, Men’s basketball, Uni of Houston)
Resistance training in children must be done under the expert guidance of a trained professional though with an emphasis on technique.
Weight bearing exercise in osteoporosis treatment
The addition of weight- bearing exercise (45- 60 minutes 2/ week for 6 months) to medical treatment of osteoporosis increases bone mineral density more than non weight- bearing exercise and significantly improved the quality of life of patients with osteoporosis.
Achilles tendon pain
Often the curse of the runner, especially this time of year as runners increase their distances in training for the Spring Marathons.
The issue is often:
- Training errors- increasing training distance/ frequency too quickly
- Weakness in the calf muscles
- A combination of both
Research suggests that eccentric calf training is more effective than natural history (‘wait and see’/ rest) or traditional physiotherapy (massage, ultrasound, stretching) in improving pain and function.
This programme should always be supervised by a trained physiotherapist
I hope that helps shed some light on lower back pain.