Rash That Looks Like A Sunburn

DIY alcohol

that the Swedes have a problem with alcohol is well known. I've already talked about in another post and the situation has not changed that. For one thing, you just make the medical trainee undergoes healthy (even if moved to take only a sprain ankle) a questionnaire to find out how much alcohol he is usually absorbed in his average day. And if you go out on Saturday or Sunday morning, the sidewalks are pastures carcasses of broken glass and cans.
I personally think that Sweden is to solve the problem of the worst drugs in a free trade system should take drastic and even painful, which would probably mean sacrificing part of a generation, but to eradicate the problem in a radical way. But these solutions do not seem to be part of their modus operandi Scandinavian and - for the truth - any government that bases its consent on the votes it receives. So I fear that things will go on like this for practically forever. Who strives to address the problem and most people who consider it an externality of their culture.

As explained in the post, a system to control the spread of alcohol detected by the enlightened rulers of the kingdom, was to decide to sell the product only in places of state property used for that purpose (s Systembolaget, in fact), which close at 15 on Saturdays and Sundays do not open their own. Coupled with this should be mentioned the very strong tax burden faced by the spirits. These measures are expected to discourage the purchase in the population, but the story said to have been a complete failure. Alcohol is a drug and as such it encourages the user to compulsive consumption. And even if it comes true only in rare cases at the extremes of dependence, it is at all other times a pleasure and a "cultural fact" that in each case will be purchased. Increase does not mean the price will fall so that the use, but only that a share-increasing resources (or worse, their family) will be allocated to its purchase by the consumer, with all the social consequences imaginable. The centers sell them in "special", then, certainly does not limit the access to the product, rather, if possible, increased. Knowing it to be able to buy only up to a certain time on Saturday and in one place, the Swedish girls tend to make excessive stocks, only to consume more than they would if they could choose how and when to use them with less stress.

Moreover, the "prohibition " social alcohol as is the case for other drugs, in my opinion only stimulates its perception as "borderline products", thus attracting the attention and the desire of young consumers looking for their independence. Independence which, paradoxically, are at the end the repetition of the unhealthy behaviors of their parents. It would be desirable in my opinion aware of a gradual integration of alcohol in everyday Swedish culture (as always in Italy, where wine is just part of the culture and not even the case of religion) to free it from its subversive capacity.

effect of all this atmosphere that circulates around the alcohol, these are incredible products that I found available for sale in a supermarket here in Lund.

are almost half-empty bottles of with deciliter in only a few colored syrupy liquid, ready to become ... a whiskey! The label says to add half a liter of water and half a liter of pure alcohol , stir and enjoy.

There's something for every taste: flavored whiskey, Irish cream, vanilla vodka, pear brandy, an unnamed "Italian extract, and dozens more.

Frankly it is difficult whether in front of a rack like that you should laugh or cry. The tragicomic Pirandellian event has never been higher.

see a man who buys these bottles and then fills them with a bad spirit with water, to extract a drink of poor quality and definitely in any case too expensive and more harmful than a regular rum, is really a distressing scene. Frightening and sensational litmus test of certain containment policies that push in the direction exactly opposite to that desired.

About Sweden is not, however, expects to be in front of hordes of alcoholics who wander aimlessly through the city. But if he was invited to a party of young men prepare to load a couple of boxes of Spendrups :)

Area Below The Stomach Image

HUSKY ... HIKE! A show superhuman

As yet my mind is dazzled by the memory, I must admit that our sally at Abisko in nordissimo Sweden, has no meaning for us only aurora borealis. In terms of spectacle, there was at least another experience quite remarkable, as substantially different. An experience made of sweat, fatigue, hair canines, unspoiled landscapes and cold frostbite sudden. I'm talking about our trip in the snowy taiga Swedish Judas sledges pulled by dogs more exuberant nature memories.

The organization provided for the use of 3-4 hours of light daily (a mixture of sunrise and sunset without a lot of flashes that are heavily cropped a space between the jaws of the polar night) to go into wilderness driving this ancient transport of Sami culture.

The idea of \u200b\u200bleading a dog sled friccicato always in my mind, ever since I was a child I fantasized about the stories of Uncle Scrooge in the Klondike that, cry "MUSH MUSH", urging his Huskies to the Yukon River in search of nuggets as big as potatoes. Abisko has given me the chance to experience this old-fashioned but effective form of "guidance" and was genuinely exciting adventure and in some ways even mystical.

arrived at base camp (a clearing in the middle of a forest), an instructor dressed like an officer to drill in a Canadian Antarctic base has dwelt in explanations on how to run the slide, amenities on the feeding of dogs, basic tips on proper attire and polar obviously found a way to bully who occasionally races ago, he and other crazy electrocuted cover the considerable distance of 300km in 12 hours of racing. Of course, standing on skids. It is unnecessary to emphasize that I am of all these speeches he has lost about three-quarters because, apart from the cold and the fact that I was bored to death, my attention was mostly stolen from the looks watery and suffering of those thirty dogs trained to draw the sledges, in that moment of pause-related air and sitting in the snow. In the first file some of them were shaking.

guilt had taken possession of me as the instructor explained in detail what the environment was suitable for that type of animal and bla bla bla. My concerns were already passed by the problem-cold exile the poor animals, who seemed all skin and bones, unable to draw a ball from the floor in a room heated. Like a shoe, the remorse of having to force these animals to transport a person for my solemn weight plus all the sled - and only for my amusement - gripped my guts.

While these thoughts may kidnap my frozen brain, the instructor had finished chatting and passed the operational phase, explaining how to take the dogs, getting them, and of mounting to. Four dogs per sled, except that of Ilana, who had eight. To avoid malignancy free, please explain at once that the reason for this apparent injustice was that Ilana had cleverly decided not to drive, but to sit comfortably in the front bag - indoor rude reindeer skins - and be lead by instructor polar. A person 4 dogs. Two people 8 dogs. Not bat an eyelid.

The moment of departure had come. Take away the anchor. Pick up the brake hard. " Slight foot on the brake and soft start control, " HIKE".

... Nothing ... Dogs turn around and look at me perplexed. I repeat "HIKE." It does not happen again nothing. I lean toward them with his fist on the steering wheel on the freeway as I was yelling at an old man driving a beige panda in the middle of their lanes and, understanding the hint, turn around and step give a rip that threatens to fall at the first meter.

The race started and was so at that moment all my qualms were gone, because it was clear that not only those huskies they were eager to leave, to run , to pull jumping and screaming at each other playfully, but also because it seemed that there was really nowhere else they wanted to be.

The buck proceeded sent (about 15km / h) and quiet up and down the hills, while driving turned out to be not easy. A mixture of going on a motorbike, ski, skate and control a kite, for what concerned the unpredictability of the moves of animals, which required careful guidance, but still sweet. And above all the guidance needed - as we had warned the instructor - a lot of empathy . The dogs were "helped". Now, that said, a phrase may seem new age label like "empathizes with the animal in a single cosmic ...", and instead help was much more prosaic. Uphill, in fact, get off and push the sled with the dogs, but then having to jump over as soon as they had begun to pull like mad.

The race was really nice, down on some ice sheets makes me a little 'anxiety, but the thrill of speed in this pristine landscape, silent and cold, was something never experienced before . I enjoyed the light was still shining blue crystals of snow, gentle curves and a view of pristine white blanket. The silence of the surrounding world and the joy of dogs pulling, almost chasing each other and without showing any signs of fatigue.

This was my mistake : distraction, I think you are safe. But the danger was just around the corner. E was indeed a curve, which brought me the fresh snow, to betray me. Lost in a moment balance, and - with my co-ordination of cheese - not found more stability, flying in the snow. Rivennero as I fell but I remember the words of the Commander: "First rule: never give up the sled." I was therefore very heroically attacked all'infernale bob while the dogs, regardless of my misfortune, continued to pull with all his might. If the instructor had stopped there I think now I WOULD BE sold in slices to the fish market of Narvik, after having fished out of a fjord.

reassembled sleigh we were ready to go. And, after a curve where I think we touched the -30 ° c , I committed the mistake of letting me go back to daydreaming about the landscape of your dreams. Second error, and - of course - the second fall. Only this time I also lost the grip of the slide, beach inevitably in the chill of snow.

After two hours all we had gone back to base camp safely. The darkness was about to swallow the woods and the dogs were getting ready exit in the evening, when total darkness would have gone to accompany the patrons of the brave fighters of the dawn. At that point we wanted and we could not help but salute the great animals, hug them and wish to continue to enjoy running in the snow. Suddenly, the Huskies living in an apartment in Piazza di Spagna with their rich owner no longer seemed so much to envy ...

for a while 'to gloat to the feeling of days I feel like Scrooge McDuck in the legendary Klondike. Next goal: dive like a fish in a sea of \u200b\u200bflash gold .

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In life seemingly inexplicable things happen in their perfect harmony. Often remain amazed by the observation that a lot of events and that they fit almost magically from a seed planted may also arise inadvertently inflorescences unpredictable and extraordinarily comprehensive.

It happened so that just the Himalayas, the most amazing place I have ever seen before, wanted to give me the spark to admire one of the most fascinating and moving of the kind which, ironically, was just two steps (about 2000 km, the "two steps from Sweden") from home.

It took a short, Bhutan, and more specifically an Italian boy met there, to push me to become interested in the phenomenon of 'Northern Lights Visible (not always) in areas beyond the Arctic Circle in winter nights. Fascinated by his descriptions, I have brought to mind what little I knew about that and I attributed that mostly to the mythical legends of northern peoples (famous for their imagination, for that matter with the cold had to do something), I felt that the right thing to do was walk together.

Ilana and I have followed and then the voice of the Himalayas, which has given us visions able to overcome his own beauty.

On January 7, 2011 I, Ilana, Cecilia Claudio and we were thus confronted with a spectacle breathtaking, whose narrative exceeds human capacity. While it is already difficult to contemplate the beauty, it becomes almost impossible to describe. But I, I love challenges, I'll try the same.

Getting to see the Northern Lights was almost a mystical experience. A walk up the hill at the edge of a chair in the polar night, surrounded by silence and a boundless sky, the limit was dictated only by a horizon that darkness made it imperceptible. A blanket of snow bluish, which drew little light from the expanse of stars, made from soft flooring to our slide noiselessly, marked only by the hissing of the cable car. The intense cold and the horizon black and glittering star-open front gave us a strong illusion of suspension in space. Slipped away from reality and dream, while the other side of the mountain, which slowly approached, some flares were becoming stronger and higher, as if someone were to light skirting the summit of the mountain. Enraptured by the vision we had reached the base camp, but without the time to watch other people. It was enough to walk a few meters into the icy snow to make a stellar silence enveloping us and everything that surrounds us becomes useless in the face of the sky where the dawn was already proving its magnificence.

first language of light coming out from behind the mountain, then suddenly and with lightning speed the sky, dark but not black as could be assumed in a place where the sun went down at lunchtime, was crossed by a trail light that was divided and then danced before leaving and then curled curled out flashes green and pink. Then suddenly the dark and again just the stars.

As a dance the light came back from behind the mountains for several lines that still divide the horizon streak. Now a river flowed bright in the sky and chase each other, joined and then gave birth to new light sources, and fluttered and moved, the successive waves of cosmic no rules and direction.

The show will last for about two hours. The most intense lights went on for a few minutes and then gave way in the dark, as if the strokes of light, too tired for a creative endeavor, they needed to rest.

This "rest", the first night, we played was more like a final sleep, and so we took the gondola to return to base camp around 23. The cold was intense, certainly below -20 ° c, but not the case because what we used to kidnap our attention was a long strip of intense green light that accompanied us during the descent becoming increasingly strong. Just put your foot on the ground we found just the time circled to observe one of the most magnificent outbursts of Northern Lights that we could imagine. Two languages \u200b\u200bare met by creating a shower of multicolored light, which took much of the sky and from which sprang all forms of language and composition, which had the power not to turn the brightness of the stars, but to increase it if possible. Then suddenly, again the dark. The quiet, the dance of light was over. We had not even had time to try to photograph it, as we were enraptured by its beauty. And maybe it was the right thing.

The next evening we returned to the observatory and witnessed other phenomena beautiful aurora borealis, now vertical, horizontal hours, always bright, almost fluorescent. Falls and surges of light, glare vortices will never forget. The photos we took (with sensational exposures) does not do justice to the ecstatic beauty of the phenomenon and then install them only because they can give you a rough idea of \u200b\u200bwhat we saw.

The northern lights are something unique in natural phenomena. Look at the Iguazú Falls after being in those Marmore certainly is "breathtaking", as observed after a trip to the Everest Terminillo. But it's better than "quantity" are mountains "More" big waterfalls "more" high. The sunrise is different, is unique and not comparable to anything else to know (perhaps only to the rainbow, but it holds much less appeal because of its higher frequency and distribution).

As I said at the beginning of amazing things happen and for harmony and perfection of nature gives us a unique and amazing phenomenon, provided we are willing to dress up a bit 'more to appreciate it ... :)

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Interesting links

Here is a list of links to topics relating to musculoskeletal disorders and physical therapy:

www.fisioterapiarubiera.com
http://forum.fisioterapiapertutti.com/


http://www. fisioterapiarubiera.com / Lombalgia_ernia_lombosciatalgia_spondilolistesi.htm
http://www.fisioterapiarubiera.com/paraffinoterapia.htm
http://www.fisioterapiarubiera.com/la_laser_terapia.htm
http://www.fisioterapiarubiera. com / metodo_mckenzie.htm
http://www.fisioterapiarubiera.com/la_sindrome_del_piriforme.htm
http://www.fisioterapiarubiera.com/massoterapia.htm
http://www.fisioterapiarubiera.com/Le%20patologie%20del%27articolazione%20dell%20Ginocchio.htm
http://www.fisioterapiarubiera.com/Dolore%20Cervicale.htm
http://www.fisioterapiarubiera.com/lesione_Stiramento_Strappo_muscolare.htm
http://www.fisioterapiarubiera.com/Tendinite.htm
http://www.fisioterapiarubiera.com/distorsione.htm
http://www.fisioterapiarubiera.com/Anatomia%20e%20biomeccanica%20articolazione%20ginocchio.htm
http://www.fisioterapiarubiera.com/colonna%20vertebrale.htm
http://www.fisioterapiarubiera.com/http://www.fisioterapiarubiera.com/Come_Curare_Le_Patologie_del_Piede.htm
http://www.fisioterapiarubiera.com/Spalla_borsite_lussazione_impingement.htm
http://www.fisioterapiarubiera.com/Idrochinesiterapia.htm
http://www.fisioterapiarubiera.com/Dolore_Dorsale_intercostale_interscapolare.htm
http://www.fisioterapiarubiera.com/Tutori.htm
http://www.fisioterapiarubiera.com/Ginnastica%20correttiva.htm
http://www.fisioterapiarubiera.com/Nevralgia%20del%20pudendo.htm
http://www.fisioterapiarubiera.com/Riabilitazione%20perineale.htm
http://www.fisioterapiarubiera.com/ginnastica_posturale.htm
http://www.fisioterapiarubiera.com/pompages_cervicale.htm
http://www.fisioterapiarubiera.com/FRATTURE%20composte%20scomposte%20frammentarie%20terapia.htm
http://www.fisioterapiarubiera.com/Mobilizzazione_passiva.htm
http://www.fisioterapiarubiera.com/elettrostimolazione_Tens_diadinamiche_interferenziali_faradica_galvanica.htm
http://www.fisioterapiarubiera.com/TecarTerapia.htm
http://www.fisioterapiarubiera.com/paraffinoterapia.htm
http://www.fisioterapiarubiera.com/Ecografia.htm
http://www.fisioterapiarubiera.com/Magneto_terapia.htm
http://www.fisioterapiarubiera.com/ultrasuoni% 20terapia.htm
http://www.fisioterapiarubiera.com/lombosciatalgia_sciatica_sciatalgia.htm


http://www.fisioterapiarubiera.com/Galleria.htm

Hair Is Thinning In Front

HEALTH ': PD CAMPANIA, NO CLOSING GYNAECOLOGY ANNUNZIATA

(ANSA) - Naples, Dec. 23 - "I was - says in a statement

Gianfranco Wurzburger responsible third sector PD Campania -

Asl Napoli 1 that the commissioner intends to close

gynecology and obstetrics Annunziata Hospital

Naples, apparently the measure would in effect by

today. "

" The reasons - continues Wurzburg r - are not well known,

probably all is caused by a shortage of staff

medical and para medical "." The hospital 'SS. Annunziata 'of Naples

- adds the exponent PD - has a connotation maternal

only child in the city and in the Province and includes not

only the territory where it is located, but the entire historic center

of Naples and the province of Naples in the south and north,

and has within it some specific reference

Regional.

"The departments of Obstetrics and Gynecology Center pregnancies with

at risk, Center for Menopause and Emergency Obstetric

over a year in business - you remember - have

performed more than 2,000 admissions in 2009 and 3600 performance

emergency obstetrics, about 1,400 shares, between spontaneous and

cesarean, 1,200 surgeries and more than 5,000 performances

patient, so - ends Wurzburger - close them

means not only depriving many children who receive

assistance of the daily care they need and prevent

others to receive, but also impoverish even more

health in cities. "

(ANSA).

Purple And Blue Highlights

What remedial gymnastics?

The corrective exercises is essential to reduce the scoliotic curve and maintain the correction avoiding the worst.



The corrective exercises is based on exercises carried out on all fours, lying down or sitting position erected.

There are methods that perform exercises are only 4 feet, but it is also important to work on standing and sitting to give the child / adolescent correction of movement and posture in physiological conditions of daily life.



The muscles of the concave side are retracted and keep the vertebrae from the sloping part of the scoliotic curve, so you do exercises to maintain posture and lengthen them.

It 'important to work in a position shortened the muscles that were put to the stretch from the convexity of the curve, otherwise you will have to increase in a state of stretching those who were in the convexity of the curve.




Among the exercises and postures, some important ones are the elongation, or remove the head from the sacred.

can to lift the weights on the head of the child / adolescent or giving references you try to stretch and straighten the spine.

This work is also to improve the sitting posture during activities of daily living.



There are two main categories of exercises: the symmetric and asymmetric ones, the former are carried out with both sides of the back or neck, while the latter are carried out only with a shoulder or a hip so as to involve mainly the muscles only one side of the trunk.

The patients seriously have to perform the exercises in particular asymmetric, while the attitudes scoliosis or those with a less pronounced slope of the column will work almost entirely symmetrically.





As you run and what are the objectives of remedial gymnastics?

The first thing the scoliotic patient must do is realize how tilted his column to be able to correct it, to do this using tools like the mirror orthopedic, photographs and the wall.

also will perform a program of remedial gymnastics and change its posture daily taking positions that tend to reduce the scoliosis and avoiding worse than that.






right lumbar scoliosis convex.
activities to improve balance give the right stimuli to the vestibular system, and stimulate the child or adolescent to perceive the position of the individual parts of the body and seek a correction of posture.



An important part of the remedy is dedicated to strengthening the back muscles, lower back and abdominal muscles that create a corset tonic gives support to the spine and slows progression of the curve.

The front of the trunk muscles (abdominal, intercostal, hip flexors) originates from the vertebrae and ribs, so to concentrate only on the rear fascia of the back causing muscle imbalances and weakness in certain movements.



exercises to be carried out in the sessions of remedial gymnastics following ways: Klapp, Neiderhoffer, etc. Iop. Because there is no perfect system ever, each has its strengths and weaknesses, but among them are complementary.

Running an exercise over another must be decided according to the type of scoliosis of the child / adolescent, and you must change over time in light of the development curve.





In severe cases of scoliosis surgery is recommended to use a brace or cast or guardian to block the advance of the curve and correct as far as possible.




As you have to work before using the tutor.

remedial activity to be done is primarily done with isometric exercises asymmetric straightening, pulling and stretching the spine, movement on all planes of space: flexion, extension, angles, rotations etc.. And for strengthening the abs.

Do not forget the preparatory exercises to rehabilitate breathing.




How should work with the guardian?

The active mobilization of the column is to be avoided even when wearing the brace because it's like if you "shake the Tower of Pisa", if the balance is precarious we risk making the situation worse.

why we focus on isometric contractions of the lumbar muscles, back, chest and abdomen which consolidate the results obtained with the corset or brace and avoid that when you remove the spinal column returns wrong.

To give more stability to the guy fit into the program, some of-motion exercises and strengthening the muscles of the shoulder and hip.

The boy must learn to hear the new tilt column and better coordination with the targeted activities.



A the respiratory tract should be taught the boy to breathe free from the legal guardian, or that of the concavity.


Scoliosis double curve back injury left cervico-thoracic and right.






As you correct the curve by the method Klapp?

Klapp The method is based on the assumption that in animals that live in position on all fours (dogs, cats, lions, etc.). Scoliosis is not formed, and then tends to the patient assume the position on all fours. The advantages of

poszione on all fours are the cancellation effect of gravity, the muscles of the back and torso is relaxed because they must support the weight and balance, also the spine is more mobile.

The angle of the torso forward kyphosis lumbar spine blocks the lateral movement, so you can concentrate on movement at the back.




As you correct the curve by the method Neiderhoffer?

Neiderhoffer The method was created based on the principle that it is not sufficient to carry out exercises of elongation of the spine or the muscles of one side.

There are two groups of muscles in the back working in a different and complementary

muscles that originate in the upper vertebrae and ribs to fit on the lower or basin, with vertical course;

muscles that originate from the vertebrae and insert on the scapula or the arts and have horizontal course.

A curve to the left column to counteract the gravity will keep shrinking and stretching the muscles of the left side horizontal, while the right hand side there will be a wasting of less use.




As you correct the curve by the method IOP?

The method is an evolution of IOP Klapp, is based on the assumption that the control of the position on all fours, which supports only one hand and a knee does not allow a proper execution of the exercises.

The boy must be able to support both hands and knees, extend your leg if you must keep your foot on the ground and not raised.

E 'possible to raise an arm or both, keeping the back.

The hip flexion or one leg lets you move the fix from the upper thoracic spine to the lower lumbar.

lifting a shoulder or hip than the other cancels the rotation of the spine caused by scoliosis.




What sport can make a kid with scoliosis?

Sport practiced in a competitive industry is not recommended because it can aggravate the curve, but a mild level helps the child to relate to others and not to be restrictions for the paramorphism.

sports that can help most is the basketball rebound and gives a boost to the other, karate that forces us to assume an upright posture, golf is done outdoors and is asymmetrical.

Swimming is not harmful, but while in the 80s and 90s it was recommended because it was widely believed that he could straighten the spine, in recent years has taught us that good can not correct the spine as it is a job too symmetrical and out of the natural conditions of the boy, so can not help in correcting posture.

Why Are My Eyes Itching

THE CERVICAL POMPAGES

What is this?

It 's a type of osteopathic manipulative therapy and consists of gentle traction and relaxation and is performed on patients with joint pain and muscle spasms

E' a technique used particularly in the cervical region for treatment of arthritis, muscle contractures and connective cervicobrachialgia, etc..
on the joints is helpful for improving circulation and nutrition of the cartilage.

on the muscles used to treat soft tissue contractures and painful contractions.






How to get tested? The pumping

is divided into three stages: tension, maintenance of tension and relaxation.

The first part is a smooth and regular traction that should not extend beyond their physiological tissue elasticity.

If you exceed this limit the reaction to pumping can be a major contraction or muscle spasm counterproductive.

This phase is crucial for muscle relaxation.

The third part of the technique is the issue of power-up, must be very slow to improve circulation and nourishment of the cartilage, which is essential in arthritis and joint degeneration.

The third phase of pumping also serves to detensionare the band of tissue connective present in any area of \u200b\u200bthe body, it is estimated that approximately 70% of the body is composed of connective tissue.



The pompages cervical can affect beneficial effect on low back pain or back pain by eliminating the pain and limitation of movement.

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Lumbago

How many times has happened to be examined by a doctor who only looking at the MRI says, the symptoms are caused dall'ernia disk, or the pain is caused by 'arthritis, while the type of back pain they suffer has nothing to do with these degenerates.

This premise is necessary because back pain can have many causes, some easy to document with an instrumental test, but in most cases non-specific person's pain can not be identified by imaging (CT, X-ray etc.).


means for low back pain back pain, that is in the lower spine, it can be a sore back, but there are other causes.

is usually accompanied by muscle tension, stiffness and limitation of movement.

In most cases back pain is nonspecific, that is without diagnostic imaging examinations and tests to identify an orthopedic case.

Inflammation back is usually accused by patients of all ages.

The history and a thorough medical examination will rule out any possible source of visceral pain.


Most patients who come to the doctor and physiotherapist also suffers from neck pain, back pain or backache common.


The lumbar back pain can be acute or chronic, the difference is in the fact that acute pain disappears within thirty days, if the chronic pain continues beyond thirty days without knowing for how long.



The lumbago is an episode of acute low back pain is characterized by severe pain. The affected person is bent forward property because any movement that tries to do is extremely painful.

Since then sits or lies down sideways waiting for an improvement that will not arrive before 24 hours.

E 'strongly discouraged to try to straighten up with that pain because it may damage other structures in addition to exacerbate the pain and inflammation.

The lumbago is a type of low back pain much more painful and is characterized by a high rigidity.





What are the causes?

Many patients enter the clinic saying that they have back pain because the vertebrae and discs are crushed or consumed, but only a small percentage of cases that is true.


The causes of nonspecific low back pain can be different: a sedentary job is too heavy or too frequent lifting of objects, atrophy of the paravertebral and abdominal muscles associated with a poor fitness, poor posture or sports racing too hard.

Sometimes specialists believe that depression or poor and repetitive work can cause back pain because they have noticed that statistically it is.



often suffer from low back pain in pregnancy because the body undergoes internal change due to weight: the anteversion pelvis and increased lumbar lordosis.

The ligaments and other soft tissues become more elastic, this deterioration of the body is added to the subluxation of the sacrum in relation to the iliac bones of the pelvis, which gives the classic low-back pain of pregnant women.



Another cause of back pain can be a bad shoe, shoes hard or too low can download bad impact with the ground level of the vertebrae, while a poor foot support can overload certain muscles over others.

Low back pain can be caused by an asymmetry of the lower limbs that require a crooked posture, such as scoliosis.

There are
visceral causes for back pain such as endometriosis, such as rheumatic arthritis, ankylosing spondylitis and rheumatoid arthritis, vertebral fractures, spondylolisthesis, osteoarthritis (spondylosis), infections and malignancies.

E 'need for a medical examination to exclude all diseases attributable to non-orthopedic physician before undertaking treatment.

In adults, especially in the elderly and the spondylosis and the formation of osteophytes can lead to inflammation of the intervertebral joints, and then give pain.



In my experience you should try to treat back pain as a mechanical joint or muscle disorder, in fact almost all patients who present at the clinic, this is the case.

During the motion, if a vertebra does not flow in a straight line and adjust to each other, sliding friction and produce pain.

As a result of trauma, repetitive microtrauma, or muscle overload, it is possible that the point of greatest tension of the muscles that perform a particular movement may form bridges between the collagen bands of connective tissue of these.

These bridges of collagen are formed by trapping a nerve ending, thus causing pain during movement, and sometimes even while standing still over the loss of strength and functional limitation.


The causes of lumbago are sudden movements or efforts to collect such a heavy object on the ground (eg. a bowl) made by bending the lumbar spine.

If these bends are performed in a broken vertebrae that do not flow from one another in their tracks, but "derail" even very little, the body's reaction is an exaggerated contraction of small muscles that connect one vertebra to another .

In this case there is a rotation millimeter than the last lumbar vertebra L5 to the sacrum and the joint is misaligned.

more detail the situations that predispose to this disorder are: lift objects off the ground without bending your knees, accidents, sleep in one position too convoluted or on a mattress that s'affossa, overexertion.

A patient taking a shot of cold air does not develop back pain as often thought, though it may tighten the muscles and complicate a problem that already existed.



The lack of elasticity of the muscles is a factor that predisposes to lumbago.

The strong contraction in place by the muscles of the back is a defense mechanism, can be compared to a stiff neck, but it is bilateral.





How to get the diagnosis?


The doctor is always looking lesions, disk disease, tendon or ligament tears, scoliosis, prominent mismatch, infection, inflammation, etc.., if not nothing is what it says? In most cases requiring an anti-inflammatory or send the neurologist-psychiatrist, etc.. Even when the patient has no problems that arise in the mind.



Low back pain is simply pain in the lumbar spine, then the diagnosis is to identify the type of pain: inflammatory, mechanical, etc..

A thorough examination is the first thing to do and is irreplaceable by any instrumental test.

The doctor after seeing the painful area, carried out routine tests and the answer will determine if it is painful to the touch needed a more thorough investigation because of suspected disease confirmed by imaging.



examinations most useful in cases of back pain orthopedic appliance, are:

nuclear magnetic resonance to detect possible herniated disc

X-ray shows the bones and the space between them, showing arthrosis and fractures;

the analysis of blood and urine for the presence of any malignancy or Paget's disease or rheumatic diseases;

bone scintigraphy to search for possible metastases

electromyography (EMG) to assess the conductivity of nervous.

Scoliosis may be a cause of early osteoarthritis in one part of the column, which supports more than body weight, but is not painful in itself.

Some muscles are kept in elongation because the column is tilted and rotated to one side, then stretch the opposite side is continuous, this can cause muscle soreness.



The lumbago is immediately obvious to the location where the patient and the spinal block.

The doctor will visit the subject to determine whether the causes of the disorder is the sudden movement or if it is the consequence of other diseases.





What is the best treatment right?



Low back pain is simply pain in the lumbar spine, and then only to treat orthopedic problems.


The most important thing to do to prevent low back pain is the control of posture and the holding of a regular program of exercises and stretching target.

Many patients ask me if it's just reinforcement of the abdominal muscles to solve the problem, my advice is to avoid them completely until you suffer from back pain, can then be included in the program with others.


It 'necessary to avoid recurrence of low back pain that are often if not eliminate the cause, but only symptoms.

The patient should avoid bending your back while keeping the legs stretched out, vacuuming will keep your back straight and make the beds in the knee.

When you sit down you should keep a lumbar roll to maintain the physiological lordosis.




The best treatment for low back pain of mechanical-inflammatory therapy is a combination of instrumental (CO2 laser, Tecar) and manual therapy to put in the axis vertebrae and remove the muscle and fascial tension.

physiokinesitherapy The stretching and relaxation is also recommended as a preventive measure.

In the case of lumbago treatment is more cautious, for the first 48 hours is preferable to bed rest, then the therapy is instrumental in massage therapy and treatment for the inflammation, also gentle manual therapy and physiotherapy to eliminate the cause of the disorder.


The prognosis varies depending on the age of the subject, under the age of 35 heal in less than a week, but older people need about ten sessions.

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The main back disorders

disc herniation and sciatica

facet joint syndrome

disc herniation and sciatica

True sciatica is very rare, unfortunately I often see patients who are diagnosed erroneously because they feel pain located between the back and knees.

In fact, the pain starts from the lumbar spine or from the hip and runs down the leg side or rear, without affecting the calf and the foot is not caused by a protrusion of the intervertebral disc.


The sciatic is a set of symptoms that arise from the nerve root of one or more lumbar vertebrae and occur throughout the course of the sciatic nerve to the foot.

The pain must be experienced without interruption from day one because if the nerve is compressed does not work well in any of the body regions it crosses.



True sciatica is usually caused dall'ernia disc disease, which is a part of the intervertebral disc moves back and goes to press on the nerve root.

If the disc presses on osteophytes, or bone calcification due to arthrosis of hernia talking tough.


Lateral view / posterioredella lumbar spine with herniated disk (red) that presses on nerve roots L3-L4 (Yellow).


If the vertebrae are crushed, how often refer patients and doctors, it means that the disc is dried, the liquid that is lost in the nucleus pulposus or expelled.

In some cases you may have a emisacralizzazione or sacralization of L5, which is a congenital bone malformation in which the space between two vertebrae physiological disappeared last lumbar vertebrae and transverse processes are joined to the sacrum.

The sciatic nerve is formed by nerve roots that emerge from the holes of the last three lumbar vertebrae and the first three sacral.



the nerve carries sensory stimuli (sensitivity) and the contractile (for muscle contraction), if it is compressed by the disc protrusion its operation is compromised, then: a loss of strength and sensitivity, as well as pain and tingling to foot.

The lumbar sciatica is almost always on one leg, are the most unique and rare cases where it is bilateral.

point out that a study published on PubMed in 36 healthy subjects, 80% had at least a bulging disc and about 30% of a protrusion, but do not experience symptoms for nerve compression is not significant, also more than 75% of these has at least one intervertebral disc broke.



What is the cause?

posture with her back arched forward, his legs crossed the pelvis rotated.
The cause of the herniation of the intervertebral disc is a strong pressure on the intervertebral disc annulus fibrosus that fissure the rear and pushes the nucleus pulposus to the nerve root.

When you bend forward without bending your knees, the weight is loaded on the vertebrae increases up to 600%, the vertebrae before they approach and move away after pushing back the intervertebral disc.



One of the most common causes of disk herniation is lifting a weight from the floor with legs relaxed.

too bad posture while sitting with her back arched forward and his legs crossed may lead to long this problem.

One of my overweight patients spent a period in which he was working a lot more sitting around 12/16 hours a day, getting experienced a sharp pain to the foot; obesity united all'iportofia paravertebral muscle arising from the sedentary life has caused the herniated disc.

A cause minor herniated disc can be a trauma like a car crash, although it is much more likely to cause a herniated cervical.




What are the symptoms?

The patient with low back sciatica dall'ernia caused the disc must feel pain along the nerve, loss of sensitivity and strength as well as tingling in the foot.

The pain must be continuous and constant, it can get worse with certain movements or assuming certain positions.

Many patients ask me: How do I get the herniated disc if I do not have back pain?

specify that you often come across patients with nonspecific pain that starts from the buttock and radiates vertically in the posterior-lateral thigh to the knee, in this case is not about low back sciatica, but piriformis syndrome and external rotation of the knee. In these subjects the test of femoral and sciatic nerve were negative, that is, lying in a supine position is able to raise the extended leg without back pain, but there are some movements that fail to do, first of all the overlapping "men" of the legs while sitting or test Faber. From this condition, the pain may travel in the front and inner thigh or vertically to the leg, affecting antagonists piriformis and external rotation of the knee, ie the external rotators.

Another type of patient who had surgery often occurs in non-specific pain in the buttock region and in the center rear of the thigh, ie at the level of the hip flexors that with the passage of time can also move about the region of the antagonists, namely the quadriceps. Patients who are struggling to lift the knee toward your chest and in severe cases occurring during the normal activities of daily life for the failure of the leg. The test is done in these cases is to give a kick in the back and a kick back from that position, usually exacerbates the pain, but the test for the compression of the sciatic nerve is negative. From a lying supine with legs raised and knees bent, the patient will be unable to resist pressure to relax the lower limb.

The third type of patient is rare, has non-specific pain outside of the buttock and thigh area of \u200b\u200bthe hip abductors after a few weeks can be extended to instep or inside of the thigh in the region of the antagonistic muscles: hip adductor muscles (gracilis, adductor longus and short). Although not lumbo-sciatica, the pain is very strong, can be felt during the night and especially in the morning after getting up. These individuals fail to give a side kick with the affected leg and even a slow side kick with the healthy limb because the load on the limb to compensate sick outside, brings great pain. Again the test Lasègue and femoral nerve were negative.

In these cases, treatment for disk hernia reduction inevitably fail because even if the patient has a protrusion of the intervertebral disc, is not what causes the symptoms.

I noticed that often these non-specific pain affecting people who have undergone surgery, including physical therapists who invented the manual therapies take account of past transactions.



In very rare cases, patients report bilateral symptoms, but some feel heaviness and weakness in both lower limbs.



Some patients report that after many tests, examinations and tests, doctors suspect that the cause of the pain is psychosomatic and send them to the neurologist or prescribing antidepressants, often without benefit.




The Lombo Sciatica is also known as "sciatica" symptoms should be given in a particular region of the back and lower limbs.

What makes it different from any of the three pain syndromes described above is that the hernia symptoms that radiate like a spiral vortex, while the piriformis syndrome and other nonspecific pain spread vertically and symmetrically in relation to the starting point.



If the disc protrusion is at the level of L5-S1 pain through the buttock, the rear central area of \u200b\u200bthe thigh and leg, the outside of the ankle and foot to the toes.

If the subject is L4-L5 root symptoms are felt in the lateral region of the buttock, thigh and leg up mid-calf, then radiates the front and on the instep to the central part of the foot is plantar to dorsal.



The nerve pain is terrible, the worst along with bone, the patient feels a burning sensation.

In the case of sciatica, the first day, patients are stuck in bed and can barely stand up.

The worst moments are turned in bed, bending to put on her socks and shoes, getting up from sitting or lying down and maintain a long position.

activities of daily life are painful and almost impossible.

rotations or lateral inclination on the one hand are generally stronger than the other.





How to diagnose sciatica?


diagnose sciatica simply by looking at the MRI of the lumbar spine is not sufficient, but if there is a protrusion or herniated disc that impression on the dural sac means that you can trigger a nerve compression symptoms of low back sciatica

There are tests that are as Lasègue which is to raise the extended leg with the patient lying supine, or walking on toes or heels.

In the visit, the patient should report symptoms such as feeling and in what regions of the body, medical history is essential to exclude non-orthopedic diseases: causes attributable to cancer, systemic, etc..

Patients should tell their doctor if he performed movements of incorrect or if you have experienced trauma.


MRI of the lumbar spine with L5-S1 herniation highlighted.


If pain is not caused dall'ernia disk, but is nonspecific or occurs in patients without disc herniation, the engine will run tests because certain movements cause pain or are carried out with excessive weakness.

In this case no longer speak of sciatica, but a connective tissue disorder, ie the deposition of neocollagene that is typical of granulation tissue repair processes.

then the bridges are formed between collagen muscles going to strangle or entrap a nerve, this results in loss of strength and pain that is felt in some cases even when standing still.



What is the treatment?


If the patient has a pain not due to nonspecific low back sciatica, treatment for the herniated disk will fail because it tries to treat a lesion that is not or is not the cause of pain.

Ozone therapy and surgery should be performed on patients who have symptoms suggestive certainly herniated disc because there are many cases of people continue to feel that surgery pain before, so the neurosurgeon good visit and analyze the patient well, is not limited only to look at the resonance.



Another mistake I see often is the patient with sciatica who runs a program for strengthening the abs in the gym or at home, it is essential to avoid these exercises until the pain disappears.



The Tecar therapy equipment such as lasers and can decrease the intensity of symptoms, but improvement may be temporary and unlikely to solve the problem.

I use myofascial manipulation of L. Stick, a method that dissolves the collagen bridges that trap the nerve and cause pain, this will eliminate the cause of the disorder.

consists of an intense massage on the points involved in the disorder for 5 / 10 minutes to remove the bridges of excess collagen.




Top view of an intervertebral disc with disc herniation.
Physical therapy works with excellent results in cases of protrusion or bulging disc, that is, if the outer fibrous annulus fibers are not completely broken.

If the hernia is expelled and migrated, a part of the nucleus pulposus is out of its anatomical location and has moved beyond the annulus fibrosus, if the patient is experiencing much pain, you can do with lasers, ozone therapy or surgery.

Today, only one patient out of 400 with a herniated disc will work in all other cases, physical therapy or other treatments are inadequate.



In the case of lumbo-sciatica caused by a disc protrusion, the best treatment is the McKenzie method, which positions held by, or free-body exercises with the over-pressure of the patient and the therapist encourages the mobilization and nucleus pulposus within its anatomical site enough to not have pain.




Any therapy must be accompanied by improving posture, possibly by changing the mattress or the bed of the network and the control of sitting posture.

The intervertebral disc not return intact, but the patient ceases to feel pain. The instrumental

therapy can help in removing the inflammation and any contractions, but they can not put the disk back in its place, you need a mechanical therapy.



Once cured, it is advisable to follow a fitness program with specific exercises in the gym or yoga.

facet joint syndrome

What is this?

The joints between the posterior processes of the vertebrae are called zigoapofisarie.

If the bones undergo degenerative changes with age due to arthritis of the articular surfaces are asymmetrical and the bones do not slide on each other without friction or restriction.

The consequences are excessive degradation of articular cartilage and in some cases, the posterior subluxation and a distraction of the facet joint capsule of the L5-S1.

E 'possible to find the presence of cysts communicating with the joint.

This process leads to irritation of the joints zigoapofisarie.





What are the symptoms?

The symptoms are pain in the data side of the spine, in the groin and gluteal area over the back of the thigh.

The symptoms increase with hyperextension with contralateral tilt and rotation, in addition to prolonged standing. There is an improvement

lying in bed and leaning forward to move away because joint rear area as if you pull on one vertebra over the other.




How to get the diagnosis?

lumbar facet joint syndrome can be diagnosed by taking into account the symptoms, diagnostic imaging should show advanced arthritis of the joints zigoapofisarie well as a possible cyst.

Tests that may show degeneration of the joints and the formation of osteophytes are CT and MRI. The classic test

Lasègue and femoral nerve are both negative.

There are no tests or other tests to confirm with certainty this syndrome, the only thing that can demonstrate is the anesthetic block of the facet joint is suspected.



What is the best treatment?

Conservative treatment consists of physical therapy such as laser or Tecar combined with the repositioning of the facet joints by moving back together to pressure targeted vertebral performed by an experienced physiotherapist.

E 'shall also be provided with physical therapy and muscle strengthening exercises in flexion.

The infiltration of anesthetic drugs and cortisone in the joints zigoapofisarie is used only in case of failure of conservative treatment and only in selected cases.

There is an experimental therapy that was successful for many patients: percutaneous neurotomy is a new technique of treatment which consists of denervation of sensory nerve fibers of the facet joint radiofrequency.

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The case grows controversy following the decision of Palazzo San Giacomo to assign the structure of the Market Square to a cultural group

But residents do not give up: "We will maintain the garrison"

morning 09/29/2009

are not yet satisfied the residents of Market Square protesting against allocation church to the cultural association "Until such time as will not be returned the keys to the door of Santa Croce, we will continue to be vigilant," says Gianfranco Wurzburg r is the liveability municipal councilor and leader of the protest. The people gathered near the church are still furious because someone has played through the gate the banner of protest that was raised last week to let them know what was happening to the city: "They think that without that written for people to forget our battle - says an elderly stopping at the entrance - but we have already decided to do it again and replace it. Until the day when our church will reopened for worship, we will not give up the garrison. " The rest is easy for the contestants to be present and alert because they are all inhabitants of the area. The next move of the protest committee, according to what they say they are participants, will be to ask the mayor or alderman's assets make a visit inside the church: "That may be canceled on the last question ' award - says Wurzburger on behalf of the committee - from St. James Palace insist in explaining that the association has been assigned PuntoZeroCamp only rented the parsonage. But that area of \u200b\u200bthe structure is not physically separated from the holy place: there are no walls or doors. To lease, rent only that part should be isolated and build a wall inside a medieval church. We believe, honestly, it's impossible to get permits to build a wall structure in there. " pa. bar.

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Church of Corradino, residents: three proposals to rescue the

THE MORNING 27.09.2010

The residents of Market Square will not give up the idea that the church of Santa Croce can be erased from their lives. At the news that the City has already considered desecrated and broke it sold rented by a cultural association, has taken the mobilization: "We are in there been baptized, have made their first communion, we got married. We have, unfortunately, accompanied our loved ones last trip. We have waited three decades for the restoration, now we discover that the church will not be returned to the cult. " To support the protest of residents, the municipal councilor Gianfranco Wurzburger he started work and has identified alternative sites to offer theatrical association to conduct its activities in the market but for the people leaving the church of Santa Cross to the cult: "Three large commercial premises owned by the town square are in the large market, in San Donato in via James Savarese. Are vacant and large enough to meet the needs of the association. " For its part, the association PuntoZeroCamp, created to carry out the work in the church of Santa Croce, listening to the calls for local people: "We will defend the church and help restore the dignity it deserves - says one of the founders, Angelo Laurino - Our goal is to create a gathering place for all. To give light to the church and cultural activities that make her return to its former glory. " The concerns about the granting of the church resulting in dense, in fact, the monumental importance of the medieval structure, in which houses, among other things, the strain on which he was beheaded Conrad of Swabia, "Protect this finding - Laurino said - and all the other stuff in the church. That place, with the size and height, it will be to carry out our activities. " But just about the interior of the church is an early sign of misunderstanding between the association and the municipality. The commissioner D'Aponte, who spoke on the controversy, stated that 'the association has been given at present, only the portion of the restored building (located behind the church ed.). The Administration remains committed to completing the restoration work, to make available in future in the church its entirety. When the restoration is completed will be taken into account any other circumstances of use. " According to Angelo Laurino is not so: the association PuntoZeroCamp can use the church as a whole. But this story is of little interest to people who protest: people would simply return to the Market Square to attend mass there. PuntoZeroCamp The association, however, points out that it is not possible to return to worship that church: "According to the canonical code if the churches are partly destroyed lose their dedication. Altars in there, too, were destroyed, there are more ...». Communicated the sad news from PuntoZeroCamp. When we entered the church, last March, the altars were still there, we kept the photos, it is true that today there are more, someone has stolen them. Further insult to the church of Corradino. pa. bar

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rent the church of Corradino, Market Square protest

The case was ceded for 10 years in theater association. Inside is housed the strain where the prince was beheaded Swabian

The monument prohibited

The sheet has a couple of meters long and is linked the gates that protect the church of Santa Croce and Purgatory to the Market. It says, 'Give us back our church' is not a protest or even a threat. It is simply an appeal to the residents of Market Square who have just discovered to have lost their reference point. They watch with sadness that sheet Gianfranco Wurzburger Castiello and Savior, respectively councilor and advisor to the livability of the second city: they, first, have raised the alarm. On 3 September the City Council voted unanimously to close the sale of the historic church founded in the thirteenth century Neapolitan, in which the strain is preserved on which he was beheaded Conrad of Swabia. The church was damaged by the earthquake, has been closed since 1980: a recent restoration has stopped halfway. The people of Market Square waiting for the completion of the work to reclaim the church, he discovered, however, that the City (property owner) has already decided that that will never be a parish: "The agreement of ten busy - he explains Wurzburger - which it says is a "former church." But why? Who decided that it can not be brought back into church? ". Around municipal alderman is a small crowd. The memories pile up: weddings, baptisms, communions "If indeed the city decides to close our church we stuck to the gates," says one of these gathering the consensus of all. The story goes back earlier this month. The City Council (missing only the guide assessors and Raffa) voted the right to rent the church for ten years, to 2,600 euro per month, the 'PuntoZeroCamp', an association that deals with promotion and development of theatrical activities. Before continuing, it should be noted that the association's activities are certainly valuable and meritorious: no doubt about the usefulness of the initiative. The big concern is focused simply on where you place this laudable initiative: Naples medieval symbol of a church, which have yet to be completed the restoration work, which contains historical as the "strain of Corradino. Even the President of the Provincial Council of Naples, Luigi Rispoli, who lives on the territory, it calls for the development and follows its problems, is worried: "I do not understand the reasons for this assignment. And I believe, among other things, that we need to study the terms. The municipality itself, through the Accountant General, urged the council to investigate every detail because he has found some discrepancies between the dictates of the law and the agreement signed. " By agreement, the papers show a very particular singular. The Council resolution for sale for rent is dated September 3, the memorandum of association "PuntoZeroCamp ', drafted by a notary Fortunata M. Barbarisi Coccoli instead dates back to May 27, on that date the association establish their headquarters "at the Memorial Church and Holy Cross in the Market Square No Purgatory 291. Evidently there is an error: four months ago, the association could not have known that he would have rented the church ... pa. bar.