-IBIS-1.5.0-
tx
musculoskeletal system
low back pain
physical medicine

exercise

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


hydrotherapy

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


manipulation

rule out disc pathology first!
• spine: lumbars, T12, sacro-iliac joints.
• see Travell's trigger point referral zones, treat trigger point(s).
• leg length equal? adjust or block; heel lift if appropriate.
• psoas muscle, kidney pathology?


electrical and oscillating

• diathermy: over low back, treatment for 20 minutes
• Galvanism: (+) pad posterior, (-) pad anterior for 25-30 min., 15-40 mA
• infrared
• TENS
• interferential: 0-120 Hz, 12-15 min., mild intensity for chronic ; for acute 90-150 Hz


footnotes