Physiotherapy for spinal conditions
Physiotherapy for spinal conditions
Physiotherapy forms the principle treatment for most spinal conditions. In simple degenerative problems (arthritic joints, slipped discs, muscle sprains/ strains, back spasms) the initial treatment involves resting for no more than 48 hours with adequate pain relief. This is followed by gentle mobilisation. If this fails to settle then self-referral to a community MSK physiotherapy team is indicated.
After surgery general physiotherapy advice can be divided into 2 phases.
Early rehab:
- gentle mobilisation – lots of walking
- home exercise programme (‘nerve flossing’)
- postural techniques
- self-managed phased return to work, driving, day to day household activity
- avoid prolonged sitting/standing
- avoid heavy lifting
- avoid long car/train journeys
- avoid flights for the first 1 month
Long term spinal care:
- core stability exercise (yoga, pilates)
- weight management
- mixed impact exercise regime (more low – swimming, cycling; less high – running, crossfit)
- avoid heavy lifting
- avoid prolonged sitting
- frequent break on long journeys
- maintain postural techniques (including at work – lumbar support chairs, standing desk)
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