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Stone IVALDI – physiotherapist, osteopath – co-founder of the School of the back through the implementation of intervention protocols for post-operative, he has led the service of care and functional rehabilitation E3S of the polyclinic St John for 20 years.
Summary : The text examines the management of pain through postural balance dynamics. When parts of the body compensate for disabilities, this can lead to pain and imbalances. The compensation mechanisms often cause inflammation and alterations in neurosensory, amplifying the pain. In the context of pain pelvic floor perineal, these processes interact in a complex way. A comprehensive approach is presented to reduce inflammation, restore the functionality and re-educate the mechanisms of neurosensory for a sustainable management of the pain. The "cushion" Aporia® promoting postural balance dynamics supporting postural adjustments, thus contributing to the relief of pain.
Understanding the Mechanisms of Compensation
When a part of the body suffers from a functional impairment or restriction of movementthe other areas are trying to compensate, leading to an muscle tension is excessive, of imbalances, postural and a overuse certain of the structures. These compensation can cause pain in areas remote from the original source, making the identification of the real cause is more complex.
The areas dumb of the body, which do not report actively pain, may also play a role in these compensations. These areas may be silent because of problems of the transmission of nerve signals or modulation of pain perception by the brain. For example, a deficiency in the spine can cause compensation in the adjacent vertebrae, the surrounding muscles and structures of the nervous system.
To illustrate this concept, consider the example of the vertebral column compared to a bike chain. If one of the links of the chain is defective, the other links in the chain will have to bear an extra effort to compensate for this weakness.
These mechanisms compensation can trigger pain in remote areas, which further complicates the identification of the real cause of the pain.
Inflammation : as a Result of the Compensation
The compensation may cause a inflammation when the adjustments and surcharges imposed on the tissues exceed their tolerance ability. This can occur in the following situations :
- Overuse or excessive stress : Some parts of the body in lieu may be subject to excessive stress, resulting in a inflammation of the muscles, tendons, ligaments, or joints.
- Biomechanical imbalance : The compensation can cause imbalances musculo-skeletalamending the forces exerted on the tissue, which can trigger a local inflammatory response.
- Repetitive strain injury To : repetitive strain injuries repeated may occur if the compensation persist, leading to a chronic inflammation.
- Irritation of the nerve : In some cases, the compensation can exert pressure on the nerves, causing a irritation of the nerve and an inflammatory response at the level of the surrounding tissue.
These symptoms are common in people with low back pain and pain pelvic floor perineal.
Inflammation and Deprogramming Sensorineural
L’inflammation is a complex biological process that, when it persists, may result in a fibrosis (formation of excessive scar tissue) that compromise the function of the organs or tissues affected. This situation is often associated with a deprogramming sensorineural, where the routes of transmission of sensory signals are altered, increasing sensitivity to pain.
Excessive fibrosis may compress the nerve structures nearby, resulting in changes in neurosensory. Conversely, alterations in neurosensory may influence inflammatory responses and wound healing processes, increasing the formation of fibrosis. These complex interactions are often observed in pain pelvic floor perineal.
- Fibrosis : It may impair the functionality of the tissue, thus increasing the sensitivity and pain.
- Changes in neurosensory : They can amplify transmission signals painful and affect the perception of pain.
Inflammation and alterations in neurosensory in the symptom of neuralgia pudendale
Neuralgia pudendale is a complex condition, where both the inflammation and alterations in neurosensory may play a role in the pain and the associated symptoms. However, it should be noted that the exact understanding of the underlying mechanisms of the neuralgia pudendale is still evolving and that the relative contribution of inflammation and alterations in neurosensory may vary from one individual to another.
Inflammation : inflammation can be present in the neuralgia pudendale, in particular in the case where there is a compression or irritation of the pudendal nerve. When the nerve is irritated or compressed, it can cause a local inflammatory reaction, characterized by immune cells and inflammatory mediators that gather around the nerve. This inflammation may contribute to the pain and the awareness of the nerves, thereby amplifying the perception of pain.
Alterations in neurosensory : alterations in neurosensory also play an important role in the neuralgia pudendale. When the pudendal nerve is affected, this can lead to changes in the transmission of nerve signals, the sensitivity and sensory perception in the pelvic region. Alterations in the sensitivity of touch, proprioception, and pain perception may occur, contributing to the manifestation of symptoms.
It is important to note that the inflammation and alterations in neurosensory can interact and strengthen each other in the neuralgia pudendale. For example, inflammation can induce alterations in neurosensory by disrupting normal functionality of the nerve fibers. On the other hand, alterations in neurosensory can trigger inflammatory responses, thereby amplifying the inflammatory symptoms.
Aporia® : A Comprehensive Approach for long-Lasting Relief
An integrated approach is needed to deal with these phenomena nested pain and compensation. It combines strategies to reduce theinflammation, treat the fibrosisto restore the functionality of tissue and re-educate the mechanisms of neurosensory. The objective is to identify and treat not only the symptoms but also the underlying causes – often areas dumb – and functional imbalance for a full recovery and sustainable.
The cushion multiarticulé Aporia® is designed for reduce the pain and restore the stability and the functionality of the body. Whether it is a transitional position of acceptability or by specific techniques of rehabilitation, the goal is to restore thebalance and the feature of the body, even in the presence of imbalances.
Aporia® : A Cushion Ergonomic 3D for a Dynamic Balance
In the system neurosensory, two types of information flows are as follows : the flow amount (up) and the flow going down (down). The type of cushion used affects how the body restores the received information.
- Configuration up-down : A cushion static can provide information, comfort, leaving the body passive.
- Configuration down-up : A cushion dynamics, such as the cushion Aporia®allows a restitution active information, thanks to its 4 pads articulated that support the micromotion adjustment postural.
There are different ways to learn thebalance :
- Repeat : Perform drills to improve coordination and the stability.
- Exercises proprioception and muscle building : A comparison of various degrees of freedom to find the balance. This is what allows the cushion Aporia®.