What do you prefer for acute low back pain treatment protocols?

Short term management will include Electrotherapeutic pain relief using TENS/IFC and a combination therapy of moist heat, after ruling out contraindicated conditions. As needed, US therapy with non-thermal settings initially. Long term management involves exercise therapy management to correct biomechanical imbalances contributing to low back pain.

Grade 1 Maitland Mobs, Ice, Rest and Kinesiology  Taping.

for acute low back pain more manual therapy is harmful it will  cause more injury .First of all give rest to the patient , icing have the goodd results as well ultrasound on interrupted mode , tens for pain management and myofascial release of back muscles and guide the patient about postures which can aggravate back pain

I prefer always massage all body because all the parts of the body are connected by energy, and the cause can be in another part of the body, buts hould focus on the lumbar, sacral part and the legs.

When the pain in the lower back massage I prefer and I think it is desirable that the patient engaged in swimming and working Michel exercises

Regarding SOAP:

Check trunk mobility, manual muscle testing, PAIVM and palpation which level of spine affected. if joint mobilisation  with grade4, patient has no pain, it maybe just muscle strain or related.

treatment can be given for sure joint mob, trigger finger, MFR, and electromodalities.

FOR AN ACUTE LOW BACK ACHE THERE ARE CERTAIN FACTORS WHICH ARE UNAVOIDABLE:

• AGE OF THE PATIENT
• BIOMECHANICAL  TRAINING OF ACTIVITIES OF DAILY LIVING 
• EXERCISES THAT WONT PRESSURE THE AFFECTED JOINT OR STRAINED PART
• ULTRASOUND THERAPY WITH NSAIDS

For acute low back pain first of all use ice compression, then ultrasound treatment to heal the injury and apply kinesio taping. it could be use for getting better result in acute condition. but these protocol  can be change based on the cause of pain.