this is deja vu news live from berlin the u.s. blames the savvy crown prince for the murder of journalist jamal a shop g a previously secret intelligence report says prince mohammed bin summoned probably approves the killing the saudi government rejects the finding also coming up. hope for holiday makers europe's leaders agree on a vaccine passport to ease travel restrictions scheme could be in place by the summer. and nigeria suffers another mass abduction gunmen kidnap

hundreds of schoolgirls police and the military launched a joint rescue operation. on pablo foley s welcome to the program saudi arabia has hit back at us claims that crime prince mohammed bin soundman probably approved the murder of journalist. the biden administration has released a report written just after the killing and 2018 but which was never made public washington has imposed sanctions on an elite saudi unit singled out for its role in the murder the crown prince has always denied any involvement on the saudi government says it completely rejects the findings. and old report making new headlines it was originally suppressed by the trumpet ministration but 3 years later its declassified its conclusion. it's clear for the world to see u.s.

intelligence says it's a lockley that saudi arabia's crown prince mohammed bin solomon ordered the capture or killing of journalist jamal khashoggi the. pentagon is pulling no punches saudi arabia remains a strategic partner in the region. we have to be courageous enough. as friends to speak candidly and. and to make clear our concerns. about the rule of law and about civil and human rights even with friends and partners. the report doesn't detail any new evidence but stresses the crown prince is control of decision making he has always denied knowing about the plot. showed he was lured to the saudi consulate in turkey where he was killed and dismembered by a team sent from riyadh the saudi government eventually admitted to killing but

blamed it on a rogue security team. the public naming of muhammad bin solomon as complicit in the killing will set a new tone for the relationship between washington and riyadh but bought an administration has imposed sanctions on dozens of saudi officials but stopped short of targeting the prince. let's bring in deja vu correspondent. in washington. high all over at president joe biden chose not to suppress this highly critical report on a u.s. strategic ally what does doc tell us about his administration's stance on saudi arabia and crown prince mohammed. paul is important point out the the report is not new it was actually already finished quite some time ago and then withheld by the trump administration congress at the time altered this report to be published but trump ignored the ruling by congress he had

a very friendly position towards saudi arabia here in particular looking at the arms sales the united states is exporting arms to saudi arabia joe biden wants to review this relationship and other relationships 3 between the united states and other countries in the middle east so saudi arabia is one of the us is closest allies and that the bite of ministration is now accusing the saudi crown prince. of the washington polls journalist. that will certainly have big implications for their relationship whatever you mention that there is the relationship of course they've announced that they're recalibrating it with saudi arabia and also they've announced sanctions that the pentagon says the kingdom remains a strategic partner do we know what all of this means going forward. well certainly as you pointed out saudi arabia is one of the closest allies of the

united states in the region so it's very important for the u.s. to maintain that partnership they need saudi arabia for their policies in the region just look at iran where of the biden president biden wants to re enter of the nuclear deal so that's one of the adverse series of course they are in the middle east region and that is also one of the reasons why crown prince mohammed bin someone has not been targeted directly by sanctions. that was deja vu correspondent in washington who spoke to us earlier well moving on syria has condemned u.s. airstrikes on its territory and described him as cowardly washington says a targeted facilities used by iran backed militias president joe biden ordered the strikes in retaliation for an attack against u.s. personnel in iraq syrian authorities say at least 17 people were killed and insists the u.s. has broken international law it's the 1st major military action taken by the by the

ministration and here's the u.s. secretary of defense lawyer dostum. with the property of a target that we were there we go we did. hear there were property that already read you those stories evolution. but conducted to destroy. let's turn to some of the other stories making news this hour in chile hundreds of government protesters have taken to the streets of the capital something i'll write police used water cannon and tear gas against the crowds friday demonstrations have become a regular event as campaigners speak out against inequality in one of latin america's most developed nations. 400 prisoners escaped in a jailbreak in haiti that claimed the lives of 25 people witnesses told reporters they saw government shoot at guards before the inmates fled local media say the

jails director and a powerful guy neither are are among those killed authorities say some 60 prisoners have been recaptured. a gas explosion has flattened a 9 story residential building in the city of mission a no go to know of new drugs in western russia the explosion rocked a sushi bar on the ground floor authorities say older residents have been evacuated and that only one person was seriously injured. 2 stolen bulldogs belonging to the singer lady gaga have been returned to police in los angeles the star's dog walker was shot and wounded when the animals were taken lady gaga offered a half $1000000.00 reward a mystery woman 100 dogs and it's not known whether she claimed the cash the european union has agreed to develop a covert 900 fax seen passport that could allow people more freedom to travel again

in time for the summer tourist season it was one of the measures up for debate at a virtual summit of e.u. leaders aimed at better coordinating their pandemic strategy. summer sunshine and salty air it sounds like paradise but not for the holiday destinations in southern europe that have been hit hard by the pandemic they want to vaccine passport to enable more tourists to flock to their locations but german chancellor angela merkel says politicians may still need a while it is definitely right to plan this for the future but it shouldn't mean that you need one to travel the political decision still have to be taken. off vaccination is underway but slowly the prospect of a passport already has people dreaming of far off destinations politicians say that there must be proof that vaccinated people and noninfectious will not be given is if that's a given that there will be no reason to restrict basic freedoms and we have to return those that is very clear we shouldn't raise false hopes and we should appeal

to people's sense of solidarity so that they follow the social distancing rules we simply don't know yet how long immunity will last after vaccination is. no longer just travelling virtually but really crossing borders the tourism sector is pinning its hopes on the digital id as a passport back to profitability. you have september we made suggestions to the federal government for a test concept for travel still isn't one we should be moving more quickly and not have to wait another 4 months for digital passports. or the european union says developing this kind of passport could take 3 months months during which travel dreams will keep on growing well earlier we spoke to mark tang a belgian member of the european parliament and we asked him why he is against taxing passports. well my concerns is that once we start reducing rights

fundamental rights on the basis of health status we're going down a slippery slope especially in this situation where we've seen that we've got a shortage of vaccines throughout the european union in many member states and hence not everyone has access to the vaccine so attribute ing rights to people on the basis of health status is dangerous it's even more questionable as long as people don't have access to the vaccine i mean that's guaranteed 1st that people get the vaccine and then we can debate on what kind of stands or carts or whatever we want well let's take a look though at some other developments in the pandemic over half of all israelis have received their 1st covert 900 jobs the health ministry says about one 3rd of the population of already received a 2nd dose as well a quarter in the netherlands has upheld a controversial coronavirus curfew a lower court how to earlier ordered the curfew to be scrapped saying the government overstepped its brief and the czech prime minister has warned that hospitals are heading for disaster unless infections start to fall the czech

republic has one of the highest death rates in the world. security forces in nigeria have launched a rescue operation to find more than 300 kidnapped schoolgirls gunman struck in a nighttime raid on a boarding school fund its are known to carry out kidnappings to demand ransom payments and bargain for the release of jailed gang members gerry as president say says the government will not give in to blackmail it's to see the latest mass kidnapping of nigeria's children and then force their way into temperament girl secondary school engine gave way and the country's northwest nearby residents say the shooters fired constantly forcing people to cower in their homes the kidnappers took off with more than $300.00 girls police and the military have launched a joint search and rescue operation. well your finals in different

years old the forest. was part of our look. i was part of alcor didn't hold on enough. but some parents say if they are blessed to have their girls returned safely they won't send them back to school just over a week ago a student was killed in an assault on a state run school in the town of cook are also in the north west attackers abducted $27.00 children criminals in the region have shifted their targets from wealthy foreigners to schoolchildren and in a rush to rescue students ransoms are often paid the government has been fighting the militant group boko haram which is known for committing similar crimes in the area but for the hundreds of parents waiting for word of their children and praying that they are still alive the government's actions simply aren't enough. earlier we spoke to our correspondent fred move on you in lagos and we asked them

who the kidnappers are and what they want and so far we. have that they are the ones behind the attack but some people actually said that this might be not true but what is a fact is that. the bond it's their work of the bond it is actually helping the book because if they are targeting schoolgirls and people young people are going to school this means that this schools have to stop and if the schools stop then this is an achievement for books so far we know that these are the walk this is the walk of the bond it's but then book i'm claims that they are the ones behind these which we have no reason to doubt that at this moment. in the in this league of better braman and that an unbeaten run for visitors and frankfurt fremens to one win is their 1st against frankfurt for 3 years shortly

after the break for a men's territory selassie in the frankfurt defense to level the game out when all it was to defenders 2nd goal of the season american striker josh sargent netted that deciding gulf health and crime and pick up 3 much needed points it's frankfurt's 1st honestly get the saints this year. but you're watching news live from britain coming up next world stories the week in reports and remember there's more on the detail the news up on detail to dot com or you can follow us on twitter and instagram on top of story and yes for going to leave you now with these pictures from the colorful annual elephant parade in sri lanka for me and the entire news team here in berlin take care and see soon. their . record.

like. germany which. any time any place. to sing music video never. have the benefit of. songs to sing along to download it is the combo

from soup. to the cut and varied course is put into active exercises are you talking about that d w dot com slash dollars land on facebook in the uk still. lend german for free with the devil you play. this week on the world stories. russians sputnik back scene is in the spotlight female rabbis find their way in berlin but we begin elsewhere in germany and one year ago a racist right wing extremist killed 9 people with migrant backgrounds their families of the victims want answers and their grieving is mixed with anger at the authorities. to kin lost his brother gu khan in

a racist terrorist attack in hono one year ago. must you go 1st and a comma honeymoon sort of one like he basically walked in and blew our lives apart or. he wrecked everything nothing was left in place. by once. you can was just 37 years old following his death his family fell apart she team's father died of cancer 5 weeks later his mother can no longer cope without medication cheatin and his son matt not able to go to work and on sick leave the diagnosis post traumatic stress disorder it's like. for me it's been a whole year of sleepless nights when it gets dark you lay your head on the pillow or your head is filled with questions on the case and. commandant the frog. consumes you. to do to ken and his son matt on the way to the crime scene

because he was shot by to b.s. at this kiosk just as he was about to finish his shift double my brother was lying over there under those 2 electrical sockets from which there were blue lights flashing and a crowd of people but 1st we didn't realize what had happened to this day many questions remain unanswered for example how was it possible that the perpetrator was in possession of the gun license even though he was mentally ill or why was the emergency number of the one a police apparently not sufficiently manned on the night of the crime scene and the other relatives are still searching tirelessly for answers demanding clarification and consequences to do this they founded an initiative. where call on the stage government to investigate the failures and also to imagine how late the officials acted on the night of the crime and also before and after the crime

and one year on there is still no explanation and there are still many many questions as to how it could have come to that flawed often of class this is what helps a wide called quantum neither the state government and has nor the hano police want to talk to us about these allegations the police union had this to say before and saying the police were responsible in the sense that it one point or another they could have done this or that and then it would not have happened i do not agree it's a little cheap to say after the fact is that the police should have known everything before hand. since the attack to can no longer feel safe in germany he's scared when he goes out at night or when his son is late coming home. last summer russia was racing to be the 1st country to have an approved corona vaccine the sputnik vaccine was rolled out before late stage trials have begun raising concerns nevertheless russians are getting vaccinated on mass. ever

seen with the potential to save lives sputnik vs russia so weapon against of the coronavirus pandemic but you've got air enough 49 is on her way to get vaccinated and to go moscow's luxury shopping mall on the red square 1st she has to list any preexisting conditions and show her id then she is ready is that ashton is not i'm not afraid i had covered 906 months ago i was sicker than i've ever been luckily i didn't have to go to the hospital but i don't want to get that sick again so now i'm getting vaccinated. since the vaccination campaign was rolled out here 2 months ago almost divides have been offered a sputnik the shot people can get vaccinated at the one of a 100 clinics but shots are also being given at large shopping malls and opera house ads for the rash and develop a vaccine are visible all over the city which unlike

a lot of people come here with their whole family if russians didn't have confidence in the vaccine there wouldn't have been such a run on the center since it opened up. between one and a house and 2000 muscovites are becoming infected with coverage 19 every day and over the last of the city has lifted many restrictions mainly for economic reasons see at risk clubs and restaurants have reopened it seems that the russian state is relying more on the vaccine and then on restrictions according to manufactor us off sputnik almost $4000000.00 russians have now been vaccinated and around town of of those have already received their 2nd dose but independent experts down to these figures they say this the 2 sticks i embellish and that's creating at dangerous situation. it doesn't is weird. it affects people's behavior it makes them careless or it is to lose their sense of danger if you think millions of people

around you have already been vaccinated words you might be less careful about protecting yourself the percentage is going back to the better. enough for minister and at department stores she's about to get her 1st a dose of the vaccine and hopes it might bring her a little closer to the normality we all had before cough it 19 but even those vaccinated can still get infected later sent to evidence suggests sputnik v protects against serious illness but doesn't mean someone can't pass a virus on she's done on her way out here enough or you know get a chocolate ice cream. just told she has to be careful for the next 3 weeks because only then will she have produced and nuff antibodies for complete protection against a corona virus infection many are hoping is this post vaccine i scream may be the 1st step to enjoying life to the fullest once was

a bowl of viruses raging in congo 6 months after an outbreak in the eastern part of the country a new case of the disease has been identified and the population is worried was was. like a biggie for a gentleman bangor contracted 2 years ago he spent 6 weeks in the hospital doctors gave him encourage mend but he had little hope that. i was not in a normal state any more i didn't eat a bomb it'd every day i thought i was dying it be a positive only. but he survived a month after being released from the hospital he was considered cured but during his last test a month ago it was a different story his sperm is it will a positive again it was a shock for zouma mom they called me again saying you have to come back for

a verification of your result then it came out that my sperm showed positive again . eastern congo early february a woman dies of ebola marking the beginning of the latest and now the 12th able outbreak in the democratic republic of congo according to the health minister she's believed to have contracted the disease from the infected semen of her husband who was himself an able a survivor. nurse moment barry mckee has experienced past able outbreaks in this temporary ward outside quito to a hospital in temple suspected abler cases will be isolated upon arrival they have 4 rooms here no more. when beara fears the outbreak could be difficult to contain the government did not make the outbreak public until 4 days after the able a patient died. then was that. if the government had released the result on the same day and locked down all contacts the disease wouldn't have spread like

this with the one going to die in. instead the highly infectious body was buried in the traditional manner which in congo means many relatives touching the body more than 70 contacts have been tracked by the ministry of health since then. we risk our lives we are here at the frontline because we take care of all the sick people who arrive when we were told that the 12 epidemic had started we were so frustrated and so concerned and we are afraid to him is of a. gentleman is also afraid of the new outbreak he thought he had finally beaten able but his new positive test worries him. our last journey takes us to berlin jewish history in germany stretches back 1700 years but how does jewish life look in today's germany we meet 2 women a rabbi and

a rabbinical student living out there with a child in their own ways. judaism has many faces in germany today the leader shannon power identifies is clear she soon to become a rabbi and she's an avid instagram user she posts about religion sexuality and life in berlin and this week resented just off a generation connected by all of these aspects of what many people learn about judaism at school it's really terrible so they're not really learning anything all that talk about national socialism but nothing about judaism as it is lived today that's why it kind of became my goal to show jewish life just how it is. in. they grew up in a religious household she believes there are too few women in high positions and she wants to change that after completing her studies the 23 year old will likely be germany's youngest female rabbi she also wants to be the contact person she

herself never happens. i'm very clear about the idea that nobody should have to choose between the jewish and queer identities you can't just choose what sexuality you're born with you develop with your sexuality and if you are jewish then you should be able to live both lives. then the jewish community has come so far it's also thanks to women like. she had to fight hard to be recognised as a rabbi at all its job and there were people who left the room when i entered so i made sure that i was always there early because then i was already seated and the other said to think about whether to sit down and join in or not. back converted to judaism now she is the rabbi of poland's new synagogue berlin is also where the very 1st female rabbi was ordained in 135 begin i do want us you want us however

was limited to teaching religion and rabbinic opus torah care. the holocaust is for ever present for juice in germany you know you want to us was also murdered by the nazis and what is it like today. it isn't has gotten louder and above all it's become more outrageous it's often. judaism in germany today it's more diverse than it has been in decades people like you lena will never let that be taken from them again.

they cope with 19 of them because change the way the word the movie office really is and this may lead to big calls too little exercise at home has serious consequences for young and old but was can really help ease the pain. because there are a lot of myths. the good ship. next on d w s. toyota's fuel cell technology the hybrid powerhouse is coming of age from the updated ride promises a lot it's faster goes further it's cheaper. and judging what comes out the back it's still pretty lame to. test drive down by a shell takes the hydrogen sit down form rides. to 60 minutes on t.w.

. in the eye of climate change. africa's most of. what's in store for such a good idea is good for the future. e.w. dot com looking megacities to the multimedia inside. the church. more. coming up on in good shape. back pain what helps and what doesn't. get moving why even children can have back problems. and scoliosis therapies for curvature of the spine in childhood. hello welcome to in good shape about today's show topic you probably are already an expert we will

talk about back pain and everybody knows somebody with back pain all knows somebody who knows somebody with back pain or has a pain in self and she will probably say come on count me out because i literally know everything about it but the question is do you know the right stuff because there are a lot of myths. back pain often comes on suddenly and can be torturous most people suffer some kind of back pain at least once in their lives. jonathan has had back problems for quite a while he tried out many different therapies and found a lot of misleading information but he got help from an orthopedic doctor a physical therapist and a biomechanics expert your hands turn your head on this. one widespread myth is that only older people suffer from back problems. they're good for in the

past it was always taught that people under the age of 21 couldn't have a slipped disc today my youngest patients are 1314 if it's jonathan was very fit and it plenty of sports until the back pain started. his 1st thought was to simply rest his back but exercising less is not a good solution long term. exercise is a great healer and the days just said you need to go to bed for 2 weeks with a cushion under your knees and not move are long gone the results were just. astra's covers for follicular seabrooke. if you can walk without pain it's recommended you take several short walks a day. initially jonathan was prescribed painkillers that's ok for a while but they're not a long term solution what's important is exercise but what kind of exercise is best

you can make a lot of mistakes it's not about having big muscles per say physio therapist philly on end they often has patients who worked out a lot but that's not the issues. you don't need the big fat muscles the studies if you want to train the stabilizing muscles along the spinal column we want to tackle the foundation not the big surface muscles we have one is fundamentally and. marcus was has physiotherapy once a week his case is very typical he spends too much time sitting down. i've had back pain for nearly 10 years since i started my office job sitting at a desk and not moving much. it's important to exercise every day but you need to know which muscles to work. there's a fear that these 4 areas the diaphragm battle stomach and seat muscles stabilize the lumbar region. muscular in durance is the key in other words how long

a muscle can keep working that's why it's important to train the muscles every day . while searching online for help jonathan stumbled on dr stuart macgill an internationally renowned expert on the spinal he spent more than 30 years studying back problems and highlighted early on the risks of certain exercises like sit ups while as it turns out the more sit ups that you do you increase your risk of back pain of kind from longs for the so the problem comes from the constant bending of the spine macgill discovered that sit ups can even trigger a slipped disc. jonathan's physical therapist showed him an alternative option the plank which strengthens the back and abdominal muscles. stretching exercises are often recommended for back pain but dr mcgill says too much flexibility isn't good . well we've actually studied this the more flexibility you have in your back for

greater your risk of having future disabling back pain. that's because the spine itself can't carry much weight it needs the surrounding muscles that support it's like tension wires. another widespread myth is that only an operation can ultimately relieve the pain yoke posh used to think that to one spinal just problem was operated on twice but he still wasn't pain free. from ages of all of the stick to see in those after 2 operations on the exact same spot with the exact same symptoms i came to realize that i could get this or 3rd 4th or 5th time and in the end it was a more conservative therapy that cured me from not an operation. it was orthopedic specialist martine mariano that ultimately helped him he believes many surgeons are too quick to operate when it's often not necessary for the

greater awareness noun and more people know you shouldn't rush into an operation but the number of back operations still hasn't decreased. jonathan has seen 5 different doctors in all nearly 50 sessions a physiotherapy cairo therapy and aussie up at the plus daily exercises but it was worth it he is now virtually pain free running. if you take a look into an ancient medical textbook out of the 19th or early 20th century you will find virtually nothing about back pain totally different story today because pain is the main cause for disability worldwide what is the real concern for doctors is that back pain affects more and more young people like children or other lessons so what's the cause of it is it stress is it too much pressure i think it's mall. of exercise and. former world champion skier felix

noida wants to help children enjoy physical exercise that's not as easy as it sounds in the coronavirus era but i lack of physical activity can affect children's health and even lead to cardiovascular illnesses and so when it's a song as far as that goes it's pretty sad more than 80 percent of children worldwide don't come close to getting the amount of daily physical activity as outlined in the latest recommendations and the world health organization recommends 60 minutes of movement today but lockdowns every strict access to sports activities leaving some kids virtually immobile with digital media adding to the effect. that maybe digital media where you can find so many other diversions is just what's needed to motivate them to get active get up and follow this video clip how about doing these exercises that might be a possibility. that's why felix is trying to get kids moving with

online videos it doesn't take much to be active even at holding the front of the t.v. . every minute counts you don't have to be strict and say it has to be an hour's workout is enough to do some kind of physical activity at home. because the right type of training is both healthy and fun. it's not always from sitting in front of the computer all the screaming when children develop back problems they can also be formations of the spine that develop from growth you see normally the human spine is curved backwards and forwards at specific places but it can be in the sight birds as well and this is called skull use is. used as could find his way to the treatment room blindfolded the 10 year old was diagnosed with scoliosis last year he'd never know. just anything wrong before like most of those affected now he wears a corset. when most funding us once you have to remember to make sure

it's properly fitted said the buckles don't come on. target and you have to wear it a lot i wear it 20 to 21 hours a day so. we went for routine checkup and the doctor did a forward bend test and saw the curvature i hadn't noticed anything before. and pediatrician vincent flynn bagus says the condition that's often discovered by chance which is why parents should watch their kids backs closely because of treatment begins and time the chances are good that this abnormal spinal curvature can be corrected this problem of x. ray images reveal the change since used to speak and his treatment. that's who it is as you can see with our patients here that with the aid of the corset a remarkable correction as occurred because the whole spine is now as straight as

an arrow and it's a wonderful adjustment. but it has to be said that if he stops wearing the corset and the spine will reach or enjoy its original shape that's why it's vital that the patient keeps wearing the course of this thing is to thaw have to discuss it so it's hard and. scoliosis is usually only obvious in very extreme cases the spinal curvature can be seen for instance when both arms are hanging loosely but one shoulder is higher than the other. a forward bend can also be very informative even people with no medical knowledge can often recognize it that way it's not known of scully osis has a genetic cause but fortunately what helps is known we have to get sanford the movement is important that children need to get enough exercise induced there's no reason children with scoliosis should be exempt from sports lessons at school every kind of exercise is a good line to be going to school. used as has learned to live with his condition

and hardly notices the course it anymore. i do my sometimes if i don't move right i feel it but when i'm just standing here like this i don't. and if his treatment continues to go well you stress will be able to stop wearing his corset once he's through puberty. you want to learn more about scoliosis me too and this is why it's now time for our interview and here's medical peter. the physician for pediatric orthopedics in bailey and dr young much a sec examined this and treats children and adolescents who just plain miles just to be at curvature of the spine. hello dr mutter certainly want to talk about scored all those what is except leave school uses a growth disturbance and devolves the torsional deformity of the

spine especially in the growth spurt before puberty in puberty and this horrible deformity. appears mostly in the thoracic spine and also involves a little movement how does this differ measure come about it the parents do something wrong no not whatsoever we in most of the cases we really don't know or what the or region or of this problem is parents sometimes are suspected of neglecting the children and then causing trouble but not in the case of school horses 90 percent of those cases are without any known cause scoliosis that often develops during puberty. what science should look out for. they should look for asymmetry of the plumb

line that means when they watch their children from behind or from the front having lost the symmetry that they are used to all. or recall bending test they could look for rotational problems when we look at a child we can immediately recognize the torsional problem of the forensic spine by the bending forward test where the child demonstrates or shows this is symmetry what consequences can score the curve when one of the. most problematic. disturbances of the function of the lung we see elderly patients with scoliosis that cannot breathe properly during efforts or daily work while having

a large curvature so we have to be aware of that problem by treating the scoliosis as early as possible saw to avoid these large curves you can treat. when you discover the problem early enough you can stop a very simple methods of physiotherapy physiotherapy involving. exercises of balance and exercises of symmetry curvatures exceed a certain extend we have to use other means of helping. the child to come in to take into symmetry and mostly we use braces braces.

there is successful in the growing child and the growing teenager while the deformity is still soft is still mobile i can see an example of the success for a trick monk behind you can your term or something about this interest this young lady develop a great curvature yes to the right together with poison so we started both brace treatments 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 torsional 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 dr i want to circle on the w. . well you welcome thank you the social. in good shape your

weekly health show on covers many aspects of health care we look at what's new in medical treatments nutrition fit this country. we talk about these topics in depth with experts and give you the chance to pose your own questions so you do get in touch. with. the covert 19 pandemic has changed the way we work for many people we work in 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. d'anna. works for an internet agency an 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. 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 only 2 problems and pain orthopedist sebastien coy about is all too aware of the issues. yes some of us that working from home for many patients are generally moving around less they spend most of the time sitting at their 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 and. muscle tension in the lower lumbar region is what's causing the problem this problem and she's not the only one with these problems. and lets. the studios close down the whole lockdown scenario 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 gym 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 i 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 history 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. in 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 also for. deanna 30 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 v's and bar 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 got worse. cracking the mastic i did various times of physical therapy and 2 months after the government for massages

and ended up spending a lot of money overall. and 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 payne. but how if acacias is this method of treatment which doesn't use any aids and the hands the latest studies show 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. 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. 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 in and when she exhales i increase the stretch right in the area where she is restricted. a 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 something's within the functional apparatus that is not moving properly it's a manual therapist 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 conic back pain even more effectively than analgesic injections on ice they're a pain. 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. 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 manual therapy it 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 in. and out. 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. unlike with the mobilization technique manipulation intervenes in the complex system of bones and muscles. you mobilise that soon the mobilization technique mobilizes to get something moving with manipulation i

manipulate so in other words i apply additional pressure from the outside pushing or pulling to open a joint in a certain direction and i have come to belittle. 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 pull to their posture to accommodate the pain which over time affects muscles and ligaments but that's that was their niche i didn't expect that mark i hadn't looked into it before hand of their go but it's helped a lot because i'm aware of so many things again now my. like how i move and my posture on page 500. which i've been able to improve greatly using the equipment here and giving in to the home. manual therapy may not be a cure all for back pain but used in combination with other treatments it can

certainly be highly effective. so after all this it's time for back so thing walk but last fall so long because we all want to be back here next week for next week's show.

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