# Physiotherapy

1. THE ROLE OF PHYSICAL
THERAPY IN HERNIATED DISC

2. • Physical therapy with a train professional may be
useful if a pain has not improved after 3 – 4 weeks.
• It is important for any person who has chronic low
back pain to have an exercise program.

3. PHYSICAL THERAPY
TYPICALLY INCLUDES THE
FOLLOWING
1. Education and training the patient in
correct movement.
2. Exercise to help the patient keep the
spine in neutral position during all ADL
activities.

4. 3. Incorrect movements or long term
high impact exercises is often a cause of
back pain in the first place. People
vulnerable to back pain should avoid
activities that put undue Stress on the
lower back or require sudden twisting
movements such as ; football, golf and
weight lifting.

5. 4 .Exercise performed after a simple
discectomy do not seem to provide much added
benefit over time.
5. Specific and regular exercise under the
guidance of a trained professional is important
for reducing pain and improving function,
although patient often find to difficult to
maintain therapy.

6. EXERCISE AND ACUTE OR
SUB ACUTE BACK PAIN
• Exercise does not help in acute
back pain.
• Beginning after 4 -8 week of pain,
however a rehabilitation program
may benefit the patient.

7. EXERCISE AND CHRONIC
BACK PAIN
•Exercise Plays a very beneficial role in
chronic back pain.
• Stretching exercises work best for
reducing the pain and strengthening
exercises are best for improving
function.

8. EXERCISE FOR BACK
PAIN
• Low Impact Aerobic Exercise
• Swimming
• Bicycling
• Walking ,
can strengthen muscles in the abdomen and
back without overstraining the back.

9. • Spinal stabilization and strength training
• lumbar extension and strength training
To strengthen the abdomen, improve
lower back mobility, strength and
endurance, and enhance flexibility in hip,
the hamstring muscles and the tendons
at the back of the thigh.

10. SPECIFIC EXERCISE FOR LOW
BACK STRENGTH
1. Partial sit-ups

11. 2 . Keeps the knees bent and the
lower back flat on the floor while
raising the shoulders up 3-6 inches.

12. 3. Pelvic tilt

13. 4. Stretching lower back muscles

14. Thank you