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Practice Policy Update Regarding COVID-19

Physical Therapy for the Spine

Jeremy S. Smith, M.D., Orthopaedic Spine Surgeon, Orange CA / Patient Info / Spine / Spine Procedures / General / Physical Therapy for the Spine
Physical Therapy for the Spine

Physical therapy is one of the foremost necessary treatment modes of recovery for back pain. A referral to physiotherapy sometimes is created by your spine surgeon. A physical therapist is a well-trained, skilled health care professional who facilitates improving movement and manages the pain by safe stretching, conditioning, and strengthening exercise techniques. Patients are guided concerning the fundamental anatomy of the body and their mechanism of action. They are also instructed about the varied exercise regimens to extend the activity level thereby strengthening the muscles. Most patients manage low back pain and associated symptoms with therapy and medications without surgical intervention.

The different modalities of physical therapy include hot or cold packs, ultrasound, transcutaneous electrical nerve stimulation, spinal manipulation, diathermy, massage, and aqua therapy. These treatment options may be indicated depending on the type and severity of pain.

People susceptible to back pain should avoid activities that exert excessive stress on the lower back or twisting movements like in sports activities and weight lifting. The two different forms of physical therapy include:

  • Active physical therapy includes physical exercise or stretching, whereby the patient uses their own force to reduce back pain.
  • Passive physical therapy is where the modalities are done to the patient by the therapist. A physical therapist tailors a particular exercise program per the individual necessities and goals.

What are the expectations of physical therapy?

Your first visit will be an initial evaluation. Your therapist will ask history about the present problem followed by a physical examination. You may be asked to walk around or asked to sit or stand to measure the movements (range of motion) and strength. Be prepared to discuss your symptoms and what factors worsen or diminish your pain levels as this helps the therapist to determine the nature of your problem and to determine your special care and focus.

Initial evaluation also includes postural assessment which helps to determine a specific treatment plan for the patient. Make sure to ask questions of your therapist if you are unsure of any of the instructions for your particular treatment plan.

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