Myths

“No pain, no gain”

It is false to believe that treatments or exercises must be executed with pain to obtain the desired results. In fact, it is rather rare that we recommend pushing to the limit of pain in physiotherapy. In general, working with pain provokes a new inflammatory process which will only slow down rehabilitation.


It’s moving so it’s not broken

We often hear this one. Consider this statement to be totally false. Sometimes there are even more movements caused by the site of a fracture.


Computerized postural evaluation

Postural evaluation forms an integral part of the objective evaluation that a physiotherapist performs routinely. It gives him / her certain information which is useful in gaining a global picture of the case in question during the course of the evaluation. Furthermore, verifying only static posture is insufficient. It is essential that the physiotherapist execute a series of general and specific mechanical tests upon the lesion that has been seemingly identified. Static standing or sitting evaluation is a minor element in the evaluation of an injury or of pain.

The computer era has brought us diverse programs for the evaluation of posture. These programs (on the market for about ten years now) have not yet succeeded in presenting us with a tool that has any clinical value whatsoever. Certainly, in terms of marketing, these computer programs are useful to some. Unfortunately, some people buy into the information presented by these high tech tools and consider them a source of truth.


Preventative treatment

Treatments designated as preventative have no value; that is, they have no scientific basis. And yet, certain self-proclaimed professionals will try to sell you this idea. Prevention is entirely your responsibility. Health professionals will indicate to you what measures to take in order to avoid the re-lapse of a problem. It is with the help of good posture, the maintenance of good body mechanics in your daily habits and specific exercises that you will find the solutions.


The headrest—An element of comfort

It is quite false to believe that the headrest in our vehicles was conceived for our comfort. It is in fact a very important safety feature. Whether an impact occurs from the front or from behind, the head rest has its’ purpose.

It is necessary to properly adjust it (cushion at the same level as the occipital region at the back of the head), as even an impact of 15km/h can cause a cervical injury.


Displaced disks

Disks that displace themselves or subluxate do not exist. Disks are shock absorbers and are well fixed between the vertebrae of the spinal column. They allow spinal movement while protecting the structure from brusque impacts. They bulge naturally when supporting weight; but disks are so well anchored that they cannot displace themselves, so to speak. Following an injury to a ligament or the application of repeated or long-lasting pressure, the disk can become deformed and be subject to inflammation.


Intervertebral disk degenerative disease

Before you reach adulthood, your disks have already begun to dry out. This is not a degenerative disease but rather a normal aging process such as the gradual wrinkling of skin. At the rate that the core of the disk loses its moisture levels, the external membrane can crack and recede. The good news is that disks can re-solidify with time.


Pinched nerves are a frequent cause of back pain

One case in ten involves a pinched nerve. If this is the case, the pain will be disabling in the leg area not in the area of the back.


Back pain is reserved for elderly people

The majority of back pain occurs between 25 and 50 years of age. People in their forties are the most vulnerable to back problems. During this period the spinal column is overworked more rapidly than it can recover. In many cases, once past this critical period, the process of reparation takes place and you will be rid of this back problem with mechanical origins.


Drinking water gives you cramps

There was a time when athletes were not permitted to drink during the practice of their sport or during training under the pretext that drinking liquid caused cramps and thus diminished performance.

Today, the importance of adequate hydration is well known. Evidently, drinking a liter of water during a two minute break is not effective; there is a logical way to hydrate .

For more information, please refer to the section called Related topics.


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