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Orthopedic diseases 2023

Opções of physiotherapy treatment for low back pain

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Opções of physiotherapy treatment for low back pain
Opções of physiotherapy treatment for low back pain

Physiotherapeutic treatment for low back pain can be done with the use of devices and stretching for pain relief, as well as massages to relax tense muscles and postural correction through exercises to eliminate the cause of the pain, and the time to treatment can vary from person to person, and can last between 3 and 6 months when physical therapy is performed 3 times a week.

In addition, the treatment indicated by the doctor can be done with anti-inflammatory drugs, analgesics, corticosteroids, infiltration and it may still be useful to resort to acupuncture for energy rebalance and pain relief.

Signs of improvement in low back pain are observed in the first days of treatment, especially when the person is able to rest, avoiding exertion and follows all the physiotherapist and doctor's guidelines, which may include not carrying heavy bags, not hold children or babies on your lap and avoid wearing high heels, for example.

Physiotherapy treatment for low back pain may vary according to the intensity and frequency of pain, as well as whether or not there is movement limitation. Thus, some physical therapy options to treat low back pain are:

1. Use of appliances

Some physical therapy devices can be used in the treatment of low back pain, such as short waves, ultrasound, transcutaneous electrical stimulation and laser, which can be used to fight inflammation and bring pain relief improving the person's daily life. However, the physical therapist may indicate other equipment, if he thinks it is more suitable for his patient.

2. Stretching

The stretching exercises can be performed passively, always respecting the pain limit and as soon as it subsides, it is possible to proceed with the stretching, to increase the range of movements and decrease its stiffness.When there is no pain, it is possible for the person to perform the stretch actively.

Some stretching and strengthening exercises are performed in global postural reeducation protocols where the person needs to stay still in the same position for about 10 minutes. During this period, while some muscles are being stretched, others are being strengthened in order to reorganize the entire bone structure and joints, eliminating the causes of pain.

Check out the following video for some stretching exercises to relieve back pain:

3. Exercises

Exercises to strengthen the muscles of the back, including the lower back, are also important to treat pain and prevent further attacks. Thus, static stability exercises can be performed in a closed kinetic chain, and exercises can be used sitting, lying or with balls of different sizes to offer resistance or support.

Strengthening can initially be performed with the resistance of the therapist's hand and gradually different weights should be introduced so that the muscle recovers. Elastic bands should be used before weights and their resistance should increase as symptoms improve.

Next, the rotational stability exercises in open kinetic chain can be introduced, which can be performed with the person lying on the side, to strengthen the glutes and anterior and lateral thighs. To progress, mobility exercises can be used that work the 4 limbs at the same time and favor body movement with or without spinal rotation.

Lastly, motor coordination exercises should be used because they require agility and complete absence of pain, being useful to improve all muscle functioning and healing.

4. Spinal manipulation

Spinal manipulation is a manual technique performed by the physical therapist that can be indicated to release tension in the spine, TMJ and sacroiliac joints, for example. It is especially indicated when there is some postural alteration such as scoliosis or hyperlordosis, but it cannot be used in every case of low back pain and requires dexterity when performed in people with a herniated disc, for example.

5. Hot compress

At the end of the treatment and at home to bring relief from possible discomforts that may arise, it may be indicated to put a bag of warm water to relieve the pain, for approximately 20 minutes, before going to bed and relaxation massages too can be indicated for pain relief and improves local blood circulation.

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