there is successful in the growing child and the growing teenager while the deformity is still soft is still more bile i can see an example of the success for a trick monk behind to can your term or something about his interests this young lady developed a great curvature. to the right together with gordon so we started with brace treatment different braces during growths all different designs as you can see and at the end of the roughly 2 years we have a fairly good result of symmetry and the toss in a problem that she had in the beginning that is completely reduced and sole. we're quite happy with that result thank you for this talk and this was a book i want to circle. where you're welcome thank you the social.

in good shape your weekly health show on d w covers many aspects of health care we look at what's new in medical treatment nutrition fitness concrete. we talk about these topics in depth with experts and give you the chance to post your own questions so you do get in touch. the covert 19 pandemic has changed the way we work for many people we work the office but in the home office and this may lead to back pain because what we need is a good desk is a good chair and a great poster. deanna fi t. davies works for an internet agency on average 8 hours a day. after months of working purely from home she's really feeling the effects of not being in the office sitting for long periods has become

a real problem for her. current demand for the pain is like a burning sensation it's very unpleasant and at times really painful so that i can't stay seated any longer i'm forced to get up and move around a bit since we're being many people are having similar issues right now. one of the problems of working from home office furniture that's not ergonomically suitable incorrect posture and lack of exercise can all lead to problems and pain orthopedist sebastien coy about is all too aware of the issues. yes small office the working from home of the many patients are generally moving around less they spend most of the time sitting at a desk staring at a screen with very little variation plus sports activities are very limited right

now. because her condition hasn't improved deanna fi t. davies is here to get help. the orthopedist is able to rule out any underlying problems and soon identifies the cause of her pain. the. muscle tension in the lower lumbar region is what's causing the problem this problem when she's not the only one with these problems. and let's. studios closed down the whole lock down scenario and i've had more patients who are working from home and experiencing more problems than usual and they can't make up for it by going to the children to work out in fitness to do it all starts because . special exercises under the guidance of a physio therapist can be helpful. so which exercises help most.

now in this case stabilization training and exercises to loosen the muscles help relieve the tension some exercises require professional supervision to be really effective. and i never saw you should only try it on your own i've been shown what to do and can do it correctly otherwise you'll just train the surface muscles and not the supporting and pastoral ones that really need it which won't solve the problem comedy display at least not hide behind. the 27 year old normally goes to the gym to keep fit but right now it's closed because of the lockdown. so what compensates best. there are many ways to keep fit including home workouts. principio general exercise is always good i would really appeal to people out there to do something for their health and get some exercise as far as that's possible right now and

continue at home any exercises you've learned during physiotherapy or at the gym it's all the fault. deanna c.t. davies has found combining the exercises from her physio therapist with her own personal training works best. we just learned that the back pain surgery is often unnecessary that pain medication can be dangerous in the long run and that sports and exercise can not be enough to treat it so in my office i often recommend manual therapy. christina visa has been plagued by pain in the small of her back for the past 2 years despite all efforts to find a cure kids have really gotten worse. cracking the mastic i did various times of physical therapy. 2 months after the comment from massages and

ended up spending a lot of money overall at austin peay him and me of course when you're in pain you try everything. in the end she couldn't do anything without pain killers she knew that wasn't a long term option so she decided to try manual sarah pay. her towel efficacious is this method of treatment which doesn't use any aids and the hands the latest study showed it can work well for chronic back pain manual manipulation of the affected area has been shown to be as potent as any painkiller and even tops other alternative methods like acupuncture. but what is it that makes manual sarah p. so effective. you can use your hands to manipulate the muscles so that you can relieve muscular tension and you can also influence joint mobility this so-called joint play. therapist access mobilizes

specific muscles on joints in christina's back. i slide my hand under the vertebra and the edge of my hand forms a hypo. so like a pivot through which i can mobilize the area during the stretch then i turn the patient back over my hand off she breathes it and when she exhaled i increase the stretch right in the area where she is restricted. of the patient often has a picture in their mind a sense that something has popped out or a vertebra is out of place obviously that's not the case that would be dreadful and not a case for manual therapy but what we're actually looking at is a functional disorder of some things within the whole functional apparatus that is not moving properly it's a manual therapist's job to find and support the patient and being able to move

normally again. and it works well studies say handholds like these improve my ability with chronic back pain even more effectively than analgesic injections and i stare at pate. in fact for patients with acute back pain manual therapists can often provide relief more quickly provided the therapist can locate the exact source of the pain. but it's important to keep in mind that severe back pain could be caused by a slipped disc which might happen when you pick something up and feel a sudden pain in your back or leg you should have a doctor take a look at the nerve is affected what will manual therapy which wouldn't be appropriate same with a heart attack or some cardiac infarctions are not felt in the chest but in a bag. but if it's nothing serious manual therapist

and can immediately tackle the pain. if something hurts let me know instead of mobilization she uses a manipulation technique this one usually recognizable by its characteristic cracking sound and you breathe in. and out so. that it's a brilliant technique when you have acute symptoms caused by blockages. it's the old tale of waking up in the morning with a stiff neck and neck. joint just blocked it can be released by manipulating it and the pain disappears immediately. but it is still for. unlike with the mobilization technique manipulation intervenes in the complex system of bones and muscles. you mobilise that soon the mobilization technique mobilizes it get something moving with libya i manipulate so

in other words i apply additional pressure from the outside pushing or pulling to to open a joint in a certain direction and i have come to the hill. in the case of chronic back pain the manipulation session is usually not enough those patients do strength training and coordination exercises as well that's because they've halted their posture to accommodate the pain which over time affects muscles and ligaments the downside was the next i didn't expect that mark and i hadn't looked into it before hand of their golf but it's hard to learn because i'm aware of so many things again now not my fault like how i move and my posture on page 500. which i've been able to improve greatly using the equipment here and i'm still getting in to the home. manual therapy may not be a cure all for back pain but used in combination with all the treatments it can

certainly be highly effective. so after all this it's time for back so thing walk but not for so long because we all want to be back here next week for next week's show.

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. this is d. w. news watch from berlin meum our police open fire to disperse protesters in young got. to. play. the dramatic scenes the latest sign of tension between the military establishment and pro-democracy demonstrators who say they will not back down. also coming up amnesty international says it has evidence of the worst atrocities yet against civilians in ethiopia to graduation it says soldiers from eritrea. and european.