-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