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Treatment is often dependent on the duration and severity of the pain and dysfunction. In the acute phase (first 1–2 weeks) for a mild sprain of the sacroiliac, it is typical for the patient to be prescribed rest, ice/heat, spinal manipulation, [35] and physical therapy; anti-inflammatory medicine can also be helpful. [1] [4]
Lower back pain is sometimes present. [3] Weakness or numbness may occur in various parts of the affected leg and foot. [3] About 90% of sciatica is due to a spinal disc herniation pressing on one of the lumbar or sacral nerve roots. [4]
In acute injury resulting in lumbosacral radiculopathy, conservative treatment such as acetaminophen and NSAIDs should be the first line of therapy. [1] Therapeutic exercises are frequently used in combination with many of the previously mentioned modalities and with great results. A variety of exercise regimens are available in patient treatment.
Due to back strain, the tendons and muscles supporting the spine are twisted or pulled. Chronic back strain occurs because of the sustained trauma and wearing out of the back muscles. [1] Acute back strain can occur following a single instance of over stressing of back muscles, as in lifting a heavy object.
As treatment, McKenzie recommended exercises and postural instructions which restore or maintain the lumbar lordosis. Although exercises involving lumbar spine extension are emphasized in this treatment protocol, particularly in the early stages, lumbar flexion exercises are usually added at a later time in order that the patient has full range ...
Treatment according to McKenzie method is somewhat effective for recurrent acute low back pain, but its benefit in the short term does not appear significant. [1] There is tentative evidence to support the use of heat therapy for acute and sub-chronic low back pain [69] but little evidence for the use of either heat or cold therapy in chronic ...
Nerve gliding cannot proceed with injuries or inflammations as the nerve is trapped by the tissue surrounding the nerve near the joint. Thus, nerve gliding exercise is widely used in rehabilitation programs and during the post-surgical period. Radial, median, sciatic, and ulnar nerves require nerve gliding exercise during the rehabilitation period.
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
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