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Achilles tendon pain

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Bruxism

What is it?

Bruxism is a condition in which a person involuntarily clenches or grinds their teeth, particularly at night, although it can also occur unconsciously during the day.

Beyond dental wear, bruxism is closely linked to muscular tension, overload of the nervous system, and unconscious patterns of sustained muscle activation. Furthermore, the jaw shares an intimate relationship with the neck, shoulders, and upper back.

Most Common Symptoms

Jaw pain or tension.
Sensation of pressure in the face or temples.
Frequent headaches.
Cervical stiffness.
Muscle overload in the neck, shoulders, and trapezius.
Jaw clicking or popping.
Waking up feeling tired.
Difficulty relaxing the jaw.
Pain around the ear or face.
Tooth wear or sensitivity.

Why does it occur?

Bruxism is a multifactorial condition and can be influenced by various factors, including:

Physical and emotional stress.
Anxiety or accumulated mental load.
Sleep disturbances.
Hyperactivity of the nervous system.
Prolonged states of alertness (fight-or-flight).
Unconscious patterns of muscular tension.

The Importance of the Nervous System

Bruxism does not solely affect the jaw. Sustained tension can alter cervical posture, increase the load on the neck and shoulder muscles, and trigger compensatory mechanisms in other areas of the body.

In many cases, the nervous system remains in a constant state of alertness, causing the body to hold tension even during rest. Therefore, treating the jaw in isolation is not always sufficient to resolve the issue long-term.

Therapeutic Approach

Treatment is tailored to each individual patient's needs and may combine different techniques to alleviate symptoms, reduce tension, and restore optimal function:

Manual therapy addressing the jaw, neck, and back.
Myofascial release.
Invasive techniques (such as dry needling) when indicated.
Cervical and thoracic spine mobilization.
Therapeutic exercise and mobility work.
Breathing and diaphragmatic re-education.
Patient education on managing unconscious tension.
Regulation and rehabilitation of the nervous system.

Treatment Goals

Alleviate pain and reduce muscle tension.
Improve range of motion in the jaw and cervical spine.
Promote deep muscle relaxation.
Reduce nervous system overload.
Enhance the quality of rest and sleep.
Minimize the risk of symptom recurrence.

Low Back Pain

What is it?

Low back pain (lumbago) is one of the most frequent causes of physical limitation and affects people of all ages. It is localized in the lower region of the back and can appear suddenly or develop progressively.

Although it is commonly associated with poor posture or heavy lifting, in many cases various factors are involved, such as biomechanical alterations, muscular weakness, lack of mobility, physical overload, or increased sensitivity of the nervous system.

Most Common Symptoms

Pain in the lower back region.
Stiffness or a sensation of restriction when moving.
Discomfort when sitting or standing for prolonged periods.
Pain that may radiate toward the buttocks or legs.
Sensation of muscular tension or overload.
Difficulty bending, twisting, or lifting weights.
Recurrent episodes of low back pain or muscle spasms.

Why does it occur?

Low back pain is typically the result of a combination of factors, including:

Muscle weakness or a sedentary lifestyle.
Repetitive physical overload.
Restricted hip mobility.
Alterations in lumbopelvic control.
Compensatory movement patterns.
Physical or emotional stress.

The Importance of the Hips and Gluteals

In many cases, the origin of the problem is not solely located in the lumbar spine. Restricted hip mobility or poor gluteal activation can increase the load on the lower back, promoting the onset or recurrence of pain.

Therefore, a functional assessment allows for the identification of potential deficits in mobility, stability, and movement patterns that contribute to the injury.

Therapeutic Approach

Each treatment plan is tailored to the patient's specific needs and may combine different techniques to relieve pain, restore function, and prevent relapses:

Manual therapy.
Myofascial release.
Therapeutic exercise.
Movement re-education.
Neuromodulation.
Percutaneous Therapeutic Electrolysis (EPTE), when indicated.

Treatment Objectives

Alleviate pain.
Restore range of motion.
Improve stability and motor control.
Correct compensatory patterns.
Reduce the risk of relapse and facilitate a safe return to daily activities and sports.