When it comes to treating lower back pain there are numerous approaches. Here are some of the more common therapies.
Care should be directed at pain for the purpose of comfort while the body's own healing properties does its job.
The application of ice and heat as outlined in this site should be used and activity must be encouraged. Bed rest is permitted for the first 24 to 48 hours maximum and for only a few hours at a time.
Engaging in physical activity as pain permits aids recovery.
Bed rest is considered counterproductive and should be used for short periods at a time. Even with severe acute back pain you should try to engage is some activity.
Walking is the ideal activity as it encourages joint motion and muscle respiration that promotes proper healing.
Prolonged sitting or lying down should be avoided to the extent possible.
You should allow enough time for healing before engaging in any
structured exercise program to rebuilding and strengthening.
Physical therapy can include heat, ice, massage, ultrasound, and electrical stimulation.
These therapies are considered passive and do nothing to rehabilitate the injured muscles or prevent further injury. They should only be used for treating lower back pain in the acute stage to “assist” in the healing process.
Active therapies consist of stretching, strengthening, endurance building and aerobic exercises. Exercising to restore motion and strength to your lower back can be very helpful in relieving pain and preventing future episodes of acute lower back pain.
The number one therapy that needs to be utilized is myofascial therapy or trigger point. All trigger points must be located and treated fully to insure a more complete recovery and prevention of future episodes
Medications are of no help beyond the acute stage (first 3-21 days). On the contrary, they all likely to lead to chronicity and of course possess harmful and dangerous side-effects.
Spinal manipulation is often recommended following a sprain/strain injury as one of the associated results can be joint fixations or restrictions.
Spinal adjustments by a chiropractor will restore normal joint motion and promote proper neurological expression.