-IBIS-1.5.0-
tx
musculoskeletal system
facet syndrome
physical medicine

exercise

»
low back pain:
• low back stretches
• water exercise back
• contraindication: jogging or running


hydrotherapy

»
low back pain:
• hot sitz bath
• hot fomentation: to low back
• lower-half body pack: (20-25 min.), then stretch low back by side posture


manipulation

• spine: mobilize joints above and below irritated facet level. Ice facet as needed. when sub-acute, adjust facet specifically
• indicates alterred biomechanics, so look for pelvic distortion, weak abdominals, etc., often early sign of disc degeneration.
• correct hyperlordosis of lumbars or cervicals to minimize facet imbrication.
• exercises a must!


electrical and oscillating

• diathermy
• TENS: for analgesia
• interferential: acute: 90-150 Hz mild intensity, 12-15 min.; chronic: 0-120 Hz.


footnotes