MAGAZINE SOBRE HISTÒRIA (Iniciat com AUCA satírica el 1960.. en edició de M. Capdevila a la classe de F.E.N. )
"La història l'escriu qui guanya".. així.. "El poble que no coneix la seva història... es veurà obligat a repetir-la.."
|28-02-2016 (1644 lectures)||Categoria: Medicina|
One of the primary reasons for client visits to clinically oriented massage practices isÂ back pain. Recognizing the signs ofÂ kidney inflammation enables therapists to differentiate it from a muscular strain/sprain.
Often mistaken to be tense or strained back muscles, kidney inflammationâ€™s most prominent symptom can be back pain. Three kidney inflammatory conditions that can cause back pain are:
When a client complains of back pain, from the lower-thoracic to the mid-lumbar regions, it is important to rule out kidney inflammation. When the kidneys are not functioning optimally, the bodyâ€™s ability to manage fluid balance is impaired, often resulting inÂ edema. Systemic circulatory massage is inappropriate for these individuals, as it would push more fluid through an already overburdened system. Additionally, if the kidneys are inflamed, they are more susceptible to injury from vigorous massage. The kidneys are vulnerable because they are only partially protected by the rib cage. The right kidneyâ€™s location underneath the liver results in its position being slightly lower than the left kidney.
A solid, anatomical understanding of each kidneyâ€™s location will contribute to accurate differentiation. The superior border of the kidney reaches the level of the 12th thoracic vertebrae. The inferior border lies just above the horizontal plane of the umbilicus, typically level with the 3rd lumbar vertebrae. The inferior border is one finger breadth superior to the iliac crest. The center of the kidney, where the ureter is attached, is level with the intervertebral disc between the first and second lumbar vertebrae. Therefore, pain originating in the kidney is typically felt in the upper lumbar region and can radiate to the upper right or left quadrant of the abdomen.
A thorough client history and intake is an essential component of safe practice, especially when evaluating back pain. To help the bodyworker identify kidney involvement, the three kidney inflammatory conditions previously listed are explained below.
Nephritis typically causes tenderness, pain and swelling in the back, below the costal margin and lateral to the vertebrae. The pain can be constant or sharp, and is typically unilateral. Other symptoms can include one or more of the following:
Severe infection may also include:
An individual with nephritis has an impaired ability to process fluids, contraindicating circulatory massage. However, non-circulatory techniques can offer substantial benefits without challenging fluid balance. If you suspect an untreated kidney infection, an immediate referral to a physician is warranted. Medical professionals take these symptoms very seriously, as an untreated kidney infection can have dire consequences.
AÂ kidney stone is a solid deposit of crystalline substances inside the kidney. Stone size can vary greatly, ranging from the size of a grain of sand to a small pebble. When the stones are large enough, they scrape the delicate lining of the urinary tract, causing an enormous amount of pain. The intense pain, referred to as renal colic, comes and goes in waves, is typically unilateral, and is often likened to giving birth. Additional symptoms can include:
Those prone to kidney stones are excellent candidates for massage, as long as they are asymptomatic. If kidney stones are suspected, most sources suggest avoiding massage during the acute phase. However, some Asian styles of bodywork include specific techniques that may reduce the spasmodic pain of renal colic. These techniques involve bodywork on the following distal areas:
Polycystic kidney disease (PKD) is an inherited disease where sacs of fluid (cysts) grow in the kidneys. If too many cysts grow or if they get too big, the kidneys become damaged. The cysts may also cause pain or may get infected.
The most common symptom of PKD isÂ high blood pressure. Other symptoms include:
Abdominal massage is contraindicated for polycystic kidney disease. In an effort to remove toxins from the body and to prevent an excessive circulatory load on the kidneys, lymphatic drainage massage is an excellent choice for someone with PKD.
As an increased number of people with complex medical disorders seek the benefits of massage therapy, bodyworkers need to have a basic understanding of the conditions they may encounter. Practitioners should never assume back pain is due to a muscular imbalance and should have a screening process to rule out kidney inflammation in place. Taking the extra time during a client intake will enable you to administer a condition-appropriate massage, prevent symptom exacerbation and could even lead to a referral your client will be extremely thankful for.