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College of Anaesthesiologists
and Intensivists of Sri Lanka
Symposium on Pain
18th November, 2016
Neuro Trauma Auditorium
NHSL
Low Back Pain
Role of Physiotherapy
Rohana Perera
Principal,
School of Physiotherapy and Occupational Therapy
This Presentation
Basics of Approach to Care
Basics of Approach to Care
1. Assess each case
2. Treat right
I. Facilitate Recovery
II. Eliminate Predisposing Elements
1. Assess Each Case
a. Know Your Customer
i. General information
ii. History
iii. Symptom behaviour
iv. Work and leisure
b. Observe posture and
gait
c. Screen for Neuro. Signs
d. Assess Mobility of the
Spine
2. Treat Right.
I. Facilitate Recovery
a) Improve Circulation
• Heat / cold therapy
• Electrotherapy
• Ultrasonic therapy
b) Overcome Joint
Stiffness and fight
pain
• Passive Procedures
• Active Exercising
Contd.
II. Eliminate Predisposing
Elements
a) Rectify Imbalances
• Stretch taut structures
• Normalise Muscle
strength
b) Teach Back Discipline
1. Assess Each Case
a. Know Your Customer
i. General information
ii. History
iii. Symptom behaviour
iv. Work and leisure
1. Assess Each Case
b. Observe posture and
gait
Sciatic Scoliosis
1. Assess Each Case
c. Screen for Neuro. Signs
1. Assess Each Case
d. Assess Mobility of the
Spine
• Basics of Approach to Care
1. Assess each case
2. Treat right
i. Facilitate Recovery
ii. Eliminate Predisposing Elements
2. Treat Right.
I. Facilitate Recovery
a) Improve Circulation
• Heat / cold therapy
• Electrotherapy
• Ultrasonic therapy
b) Overcome Joint
Stiffness and fight
pain
• Passive Procedures
• Active Exercising
Restoration of Accessory Movements
Contd.
II. Eliminate Predisposing
Elements
a) Rectify Imbalances
• Stretch taut structures
• Normalise Muscle
strength
Contd.
II. Eliminate Predisposing
Elements
b) Back Discipline
Back Discipline
Place of REST in Treatment
Is essential when it’s Indicated
Sciatic Scoliosis
• The next slide shows how with Infrared therapy (15 – 20 min)
followed by Gr II - Gr III spinal accessory movements, self traction,
and relative rest improved the posture and symptoms (sciatica) in five
days.
13.09.16 15.09.16 16.09.16 17.09.16

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Role of physio. lbp

Editor's Notes

  1. Right treatment at the Right Time
  2. Lessuire ….
  3. Not the time for aggressive examination, manipulation, careless exercise prescription