-IBIS-1.5.0-
tx
musculoskeletal system
intervertebral disc disease
physical medicine
exercise
low back stretches
hydrotherapy
fluxion to spine
manipulation
traction: continuous static, or cyclic gentle Cox Technique (flexion)
check quadratus lumborum muscles for spasm and trigger points: spray and stretch PRN.
strengthen (using muscle stimulation current or isometrics) primary movers (erector spinae, lat dorsi) to take stress off multifidii. stretch multifidii muscles.
see low back pain
electrical and oscillating
diathermy
iontophoresis: xylocaine (pos), salicylate (neg), magnesium
TENS: for analgesia
ultrasound: to hypertonic muscles and spinal nerves
sine: to spine, surging
Galvanic: use 2% Na salicylate on (+) pad, for chronic case
footnotes