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Williams, Paul C. (1974), Low Back and Neck Pain: Causes and Conservative Treatment, Ed 3; Springfield:Charles C Thomas; 78 pages. Williams P, (1955), "Examination and conservative treatment for disc lesions of the lower spine", Clinical Orthopaedics and Related Research 528-40.
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
Back pain not improved with conservative management; History of significant trauma; Minor fall or heavy lift in a potentially osteoporotic or elderly individual; Acute onset of urinary retention, overflow incontinence, loss of anal sphincter tone, or fecal incontinence; Saddle anesthesia; Global or progressive motor weakness in the lower limbs
Management of low back pain depends on which of the three general categories is the cause: mechanical problems, non-mechanical problems, or referred pain. [61] For acute pain that is causing only mild to moderate problems, the goals are to restore normal function, return the individual to work, and minimize pain.
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Chiropractors emphasize the conservative management of the neuromusculoskeletal system without the use of medicines or surgery, [53] with special emphasis on the spine. [2] Back and neck pain are the specialties of chiropractic but many chiropractors treat ailments other than musculoskeletal issues. [7]
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