LOW BACK PAIN/LUMBAR SPONDYLOSIS: DIAGNOSOS AND TREATMENT OF LUMBAR SPONDYLOSIS (PHYSIOTHERAPY MANAGEMENT OF ALL MEDICAL CASES ( DIAGNOSIS AND TEEARMENT)) Kindle Edition

PHYSIOTHERAPY MANAGEMENT OF LOW BACK PAIN AND ITS DIAGNOSIS FOR PATIENTS AND CLINICIANSLOW BACK PAINIt can also be called, LUMBAR SPONDYLOSIS, LUMBAR SPONDYLOLISTHESIS (if there is a bending), Scoliosis if there is a curvature.COMPLAINTSUBJECTIVEPain at the lower backCan not sit for longCan not stand for longCan not walk for longAffects sleepOBJECTIVECannot ambulate properlyCannot touch toesCannot sit without slouchingMild swelling at the lumbar musclesSPECIAL FEATURESScoliosisImpingementCanal stenosisDisc bulgeDisc protrusionDIAGNOSISX-RAY - INCREASE In bone densityDecrease in gap between the disc.Anterior Disc bulgeStraightening of the lumbar vertebraeNarrowing of joint spaceIF THEIR IS RADICULOPATHY/PAIN RADIATING DOWN TO THE LEGS, BOTH OR ONE, GO FOR MRIMRI will showCanal Stenosis : mild, moderate and severeExit nerve root improvementDisc bulgeO/Emuscle spasmwarmthpaintendernessDrugsPainkillers can also go with your Physiotherapy management/treatment. This is just to mask the painPHYSIOTHERAPY MANAGEMENT for Physiotherapy professionalsACUTE CASE - 15 VISITS/SESSIONSSUBACUTE CASE: 25 VISITS/SESSIONSCHRONIC CASE: 30 VISITS/SESSIONSEACH TREATMENTS SESSIONS SHOULD BE LIKE 40-minuites to 1hour.1.A. USE OF CRYOTHERAPY : ICE BLOCK/PACK . CRUSH THE ICE BLOCK AND PLACE IT IN A TOWEL. Big Towel.Wrap the ice and damp the towel and place it at the back.Allow the setup to stay for 20 minuites and maintain it daily.It will help reduce the pain and swelling.Repeat the same action for 20 daysAfter, apply any cold gel like Voltaren gel, Olfen gel, or hot gel like lofnac, neurogesic gel, etcB. Chiropractic manipulation like 10 sessionsC. Spinal manipulation 5 sessionsD. Lumbar traction : You can use skin traction. Weigh the patient weight and get the 10% of patients weight . That is the weight you use for the traction.AFTER THE ABOVE SESSIONS, GO FOR EXERCISES WITH THE PATIENTS which includeBridgingBack extensionQuadriceps exercisesAdductor exercisesAbductor exercisesPositioning with a pillowPATIENTS OWN MANAGEMENT (SELF CARE)1. USE OF CRYOTHERAPY : ICE BLOCK/PACK . CRUSH THE ICE BLOCK AND PLACE IT IN A TOWEL.Big Towel. wrap the ice and damp the towel and place it at the back.Allow it stay like 20 minuites and maintain it daily.It will help reduce the pain and swelling.Repeat the same action for 20 daysAfter apply Any cold gel like Voltaren gel, Olfen gel.2. Avoid prolong sitting3. Avoid prolong standing4. Avoid prolong walking5. Sit upright6. Use lumbar corset7. Take your medication as prescribedGive yourself a duration of 20 days if there is no improvement or pain reduction visit your Physiotherapist for further review and assessment.Nweke Vincent chinonsoMSK Specialistmcstephendevin@gmail.com Read more