Lumbar Disc Disease Rehabilitation

Aka: Lumbar Disc Disease Rehabilitation, Low Back Rehabilitation

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II. Management: Exercise Indications

  1. Flexion Exercises for Posterior Column disease
    1. Spinal stenosis
    2. Facet
    3. Pars Defect
  2. Extension Exercise for anterior column disease
    1. Discogenic pain
    2. Scheuermann's Disease
    3. Vertebral Compression Fracture
  3. Red Flag: Radiculopathy increases with extension
    1. Spinal stenosis
    2. Major disc Herniation

III. Management: Physical Therapy and Rehabilitation Techniques

  1. Manipulation
  2. Split table traction
    1. May offer some benefit
    2. Minimum Traction weight: 26% of body weight
  3. Electrostimulation
    1. TENS offers no proven benefit

IV. Resources

  1. McKenzie Method
    1. http://www.mckenziemdt.org/approach.cfm

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