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Perfect Balance Clinic
The Pain and Rehabilitation Specialists
The Pain and Rehabilitation Specialists

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There is no ailment in the world that is more common than the headache.

The number of people facing issues in relation to this is very high. Headaches that result from tension are the most common of all types.

Others result from stress in the concerned patients. The type of pain being discussed here is primarily the one that is often neglected by various individuals: cervicogenic headaches.

These headaches are actually just like the others. They often vary in relation to the person who is having them. You will find them very severe in one patient and very mild in somebody else. Patients also often have different problems.

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Osteoporosis can be defined as a skeletal disorder that is characterised by compromised bone strength, which leads to an increased risk of fracture.

The alterations that occur in the micro-architecture of the bone, especially the sites of rich trabecular bone (the porous bone found in the spine, wrists and hips) are the common sites for osteoporosis and osteoporosis-related fractures.

It can simply be described as: normal trabecular bone structure consists of resilient interconnected plates and broad beams that provide great strength.

In individuals with osteoporosis, these plates are disrupted and deteriorate into weakened rod-like structures that are no longer well connected, therefore altering and decreasing the strength of these bones.

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Cervical spondylosis is an age related degenerative condition which is the most common cause of neck pain and other  neck problems, It can be both painful and disabling.

It is also common with around 15% of adults reporting they had experienced neck pain within the last six months (National Center for Health Statistics, 2012).

Not everybody with cervical spondylosis experiences neck pain, as the condition can be asymptomatic.

Although around 90% of people suffer from the condition by the time they reach 60, many don’t experience any symptoms, though for others it can result in chronic and severe pain.

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Everybody’s spine has some form of curvature; normal spinal curves are part of our makeup and help our backs absorb shock.

When you view a spine from the side, these gentle curves are clearly apparent, but when you view a healthy spine from the back, it runs, or should run, straight down the centre.

A wide range of conditions can, however, lead to deformities of the spine commonly referred to a curvature spine.

The medical term for the most common form of a curvature spine is scoliosis. This refers to a condition in which there is a sideways spinal curvature creating either a C shape or an S shape.

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A herniated disc, commonly referred to as a slipped disc or prolapsed disc, is when a disc that separates the spinal vertebrae is damaged and either bulges or breaks open.

While this is more common in the lumbar back (lumbar herniated disc) it can also occur in the neck (cervical herniated disc), and in the upper back (thoracic herniated disc).

Not all herniated discs cause pain. Mild cases that don’t press on nerves can be asymptomatic or can cause relatively mild back pain.

A cervical herniated disc can cause pain and weakness in the neck and shoulders and can also affect the chest, hands, arms, legs and other parts of the body.

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The sciatic nerve is the largest nerve in the human body.

It starts in the lower back, passes through the buttock and along the leg and to the foot. It connects the nervous system to the skin covering the legs and the muscles of the leg, foot and back of the thigh.

Sciatic nerve pain is called sciatica, and it is experienced mostly as pain that radiates down the legs and across the buttock.

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Scoliosis is a condition where the patient’s spine is bent or curved into an S or C shape.

It can arise congenitally, or it can be idiopathic, in other words is can simply occur with no known cause. Sometimes it can arise as the result of an underlying neuromuscular condition.

Although it can occur at any age, the most common form is late onset idiopathic scoliosis.

The condition can be distressing, painful and cause psychological problems relating to negative self-image, however, it doesn’t necessarily lead to serious disability in old age and treatments are available for managing the condition.

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Spinal stenosis is condition in which the bone channel that carries the spinal nerves narrows. In most patients it is a degenerative condition though it can be congenital.

Most cases occur in the lumber spine, in other words the lower back.

The narrowing of the spine canal can compress the nerves and the effect of this is to cause radiating pain which is generally experienced down the back of the leg.

Muscular weakness and incapacity are also common symptoms.

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Spondylolisthesis is caused when one vertebra slips out of its normal position, usually forward over the vertebra below it.

It usually occurs in the lumbar spine and is characterised by its severity level, which ranges from Grade 1 when 25% of the vertebra has slipped up to Grade 4 when all of the vertebra has slipped and Grade 5 where the vertebra has fallen off completely, a condition known as spondyloptosis.

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Spondylosis is a degenerative condition of the spine that is generally related to ageing. Literally it means disc degeneration and it can affect various regions of the body, particularly the neck (cervical spondylosis), middle back (thoracic spondylosis), and lower back (lumbar spondylosis).

The condition is also called spinal osteoarthritis.
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