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

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Question added by amgad al-qortobi , رئيس قسم العلاج الطبيعي , Saudi german hospital
Date Posted: 2015/04/24
Amtul Sufia Fatima
by Amtul Sufia Fatima , Registered Physiotherapist , Nallur Clinic

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.

Peter Clever Mhariwa
by Peter Clever Mhariwa , Senior practice partner/owner , Mediclinic

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

umer shabbir
by umer shabbir , PHYSIOTHERAPIST , NATIONAL HOSPITAL AND MEDICAL CENTER DHA LAHORE PAKISTAN

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

Deleted user
by Deleted user

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.

 

 

Deleted user
by Deleted user

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

Azira Iqlima Razali
by Azira Iqlima Razali , PHYSIOTHERAPIST , RENAISSANCE PHYSIOTHERAPY, KLINIK LEMBAH JAYA

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.

Ashok M Eappen MAMMOOTTIL
by Ashok M Eappen MAMMOOTTIL , VOLUNTEER PHYSIOTHERAPIST , THAKUR HARIPRASAD INSTITUTE OF RESEARCH AND REHABILITATION FOR THE MENTALLY HANDICAPPED

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

Md Asif Arsalan
by Md Asif Arsalan , Intern

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. 

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