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Chesapeake Physical and Aquatic Therapy Newsletter
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Buying the right office chair
Has your back ever felt "stuck" ??
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Issue: # 15 September '07
Greetings!

Welcome back to CPAT's newsletters.  After taking a brief summer off form newsletters to refresh our brains and generate new topics, we will once again be sending monthly newsletters full of useful information (We hope...) and updates on what is going on in and around CPAT.  We hope you all had a happy and healthy summer!!
Before you buy a chair...
 
chairA few tips before settling into your new seat!
Having trouble with your back? Part of  the reason may be that you spend the majority of your day sitting, and it may be causing gradual injury to your spine and surrounding muscles and joints. A good chair is vital for proper posture. It helps ward off chronic strain on your neck, back and shoulders.

First, know what your back needs

First try to remember that a good desk chair is the key component of your office and of your health. It is vital for proper posture, which helps ward off chronic strain on your neck, back and shoulders. There are many different chair options: Backward to upright - for people with neck and shoulder problems. Upright to forward - for dual height working. for those who may be between a drawing board and a desk. Leaning forward - a chair which offers a seated posture particularly suited to people who spend most of their working day leaning forward.

Other things to think about are chair arms or chair casters. Some people like chair arms; others can't work with them. Chair casters allow you to move efficiently around your office, but some people prefer stability. Physical therapists like you to move as much as possible because this allows the muscles you have been using a break, increasing the blood flow and aiding relaxation. However, it is important to have good core strength to stabilize in chairs which offer higher degrees of movement.

Chair buying tips

 

Never buy a chair without sitting on it. Height adjustable chairs are ideal - adjust the height of the chair so that feet are flat on the floor, also, sit with your back straight. Choose chairs with lumbar support - it is vital for the whole spine, if you slump, your head angles down, and you'll soon have neck and back pain. Make sure to synchronize seat and back tilt - that will help you maintain good posture. Also, make sure that if you are buying an office chair with armrests, be sure to buy adjustable armrests, as all arms are not created equal. With that you will help avoid neck, elbow, and wrist pain. 

For total comfort, seat and back foam must be dense enough to support your weight evenly and it should be sculpted to fit the natural form of the body.

Conclusion

Choose a chair that helps you to achieve more natural habits for your sitting, making it easy to sustain supported correct posture and active movement.

Be aware of what your body is telling you and take action if you are uncomfortable. Soon you will notice that your back doesn't hurt so badly, no matter how long you'll work in office!

A chair by itself is not sufficient to cure or prevent neck and back pain- a good exercise routine is essential to obtaining and maintaining good spinal health.  For more information, please contact one of our offices, and ask to speak with a physical therapist!
 

Has your spine ever felt "Stuck" ??
  facet
What is Facet Joint Syndrome?
 

Facet joint syndrome is the term used to describe low back pain that comes from the facet joints of the spine.

What are the facet joints of the spine?

Facet joints are located at the posterior (back) aspect of the spine. Each back bone (vertebra) has four facet joints, an upper and a lower pair. These joints link the back of the spine together. They are designed to provide stability and control motion between the vertebrae. There is not a lot of movement at each individual facet joint, however, when all the facet joints are linked together they contribute to a significant amount of movement of the spine and allow complex movements such as bending backwards and rotation of the spine.

What does facet joint syndrome feel like?

These small joints are prone to injury, deterioration, and inflammation. Facet joint syndrome can occur anywhere in the spine including the low back. Pain arising from the facet joints is usually at the level of the affected facet joint(s), and is made worse by activities that put pressure on these joints i.e. leaning backwards and "extending" the lower back or twisting at the waist. Occasionally the pain may radiate to other areas such as the buttocks.

What causes facet joint syndrome?

There are a number of causes of facet joint syndrome. The facet joints may be irritated from trauma, repetitive movements, or arthritic changes. It is very common to develop degenerative changes in facet joints after trauma to the spine, as a result of an injury to the intervertebral disc or secondary to degenerative disc disease. If the intervertebral disc is damaged and the cushioning effect of the disc is lost, the facet joints at that level will undergo more stress, which may result in degeneration of the facet joint.

Poor posture can also cause undue stress on the facet joints. There is a natural inward curve in the lumbar (low back) section of the spine. In this position, the facet joints in the lumbar section are designed and positioned to handle a certain amount of stress. When the natural curve of the lumbar spine is exaggerated excess stress is placed on the facet joints. Poor body mechanics or how we use our body can also cause problems with the facet joints. Bending from the back, improper lifting, poor rest positions, and prolonged sitting in poorly designed chairs can all cause undo stress on the facet joints.
 

How is facet joint syndrome treated?

The majority of the time facet joint syndrome is treated without surgery. Treatment may involve hands-on physical therapy (joint mobilization or manipulation), exercise, and education on good spine posture, anti-inflammatory medications, pain medications and activity modification. In some cases these treatments may not be effective and other options such as joint injections (with a steroid) or procedures that block the pain messages from the nerves that surround the affected facet joints may be helpful. Rarely, surgery is required.

Most individuals with facet joint syndrome will recover and return to normal activities. Proper posture, proper body mechanics, and certain exercises should be maintained in order to ensure ongoing back health. At CPAT, our PT's are trained to diagnose and treat these conditions- if you suspect you may have facet joint syndrome, or would like to have your back evaluated, please contact one of our offices.
We hope you find this information useful, as always your feedback is encouraged and appreciated!  Have a great September!
Sincerely,
 

Doug Rosener
Chesapeake Physical and Aquatic Therapy