Low Back Pain Physiotherapy

Feeling pain or other discomfort in the lower back , starting from the bottom ribs to the crease below the buttocks , with or without pain radiating to the leg is the definition of lower back pain or commonly known as ‘ low back pain ‘ . The onset of pain will ultimately decrease the mobility of the lumbar so that there will be limitation of motion , especially the movement of flexion ( bending ) or extension .

The cause of lower back pain vary , more than 90 % are caused by mechanical factors ; lumbar sprain and strain , the process of degeneration , disc herniation ( HNP ) , spondylolisthesis , spinal stenosis , ` ` osteoporotic compression fracture , while remaining as non- mechanical factors and nonspinal / visceral disease . Daily activities excessive , heavy lifting , prolonged standing or sitting in the wrong position ( Borenstein & Wiesel , 1989; Meliala & Pinzon , 2004) is the originator of most lower back pain due to mechanical factors .
` ` Low back pain will improve with bed rest , medikamentosa ( drugs) , mounting braces ( lumbar corset ) , and physiotherapy , only about 1-2 % require surgery . Surgery will be performed primarily at the condition of herniation ( HNP ) or a decline in motor and sensory functions of the lower limbs .

Physiotherapy as a solution in the case of low back pain

Physiotherapy is a health care professionals who work for humans of all ages that aims to preserve , enhance , restore function , and dependence when individuals experience impaired motor skills and function or problems caused physical damage . Under conditions of low back pain , the role of physiotherapy is to reduce pain , increase the elasticity of the muscles of the back , restore functional activity using modalities owned .

Icing or cold compresses

Given the acute condition , as soon as there is pain in the lower back . Giving cold compress aims to reduce pain .

Interferential therapy ( TENS )

Interferential therapy ( TENS ) is a physiotherapy modalities which serves to reduce or relieve pain . Application can be granted on the condition of the local acute and chronic pain in the area , as well as segmental .

Ultrasound diathermy

In the case of lower back pain , ultrasound is used to accelerate wound healing with improved circulation , percapatan early and late phases of inflammation , producing collagen loss, increases power and reduces pain bending networks .

SWD / MWD

Giving SWD / MWD function , reduce pain and sedative effects resulting in decreased muscle tone ( relaxation ) and increased excitatory threshold ( reducing pain ) , increase tissue elasticity by decreasing tissue viscosity and reduce inflammation by increasing the venous blood circulation so that the transport of inflammatory cells enhanced ( low , 2000).

Fisiotapping

Tapping physio commonly used for the purpose of inhibiting the activity of experiencing muscle tension, facilitate muscle weakness experienced.

Manipulation

Manipulation is a technique of mobilization of the spine that serves to reduce pain, restore mobility of the spine. This technique was given after the patient performs specific checks carried out carefully by a physiotherapist.

Myofascial release technique

Techniques reduce muscle tension manually through autogenic inhibition mechanism in muscle spindles and Golgi tendon organs. This technique is done  using slow deep pressure on muscles.

Massage

Massage may be performed on the acute and chronic conditions, of course with proper massage techniques with the aim of lowering the tension of the muscles paralumbal.

Exercise therapy

Often someone who had experienced low back pain will hit back at a later date. This happens because of the weakness of the muscles of the back and abdominal pain after lower back. Weakness of the muscles of the lower back is what triggers the onset of pain in the future.

Therapeutic exercises are specific movements designed to train back and abdominal muscle strength back, so that elasticity back. Movements or exercises tailored to the factor causes of low back pain “, improper movement can aggravate the complaint and condition of the patient.

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