Physical Rehabilitation Management in Lumbar Spondylosis

Each patient is treated differently for arthritis based on their individual condition. In early stages lifestyle modifications or medicines can be used for treatment and surgical treatment is needed only if these measures are ineffective.


Herniated Disc, Back pain, Sciatica Pain Relief
A few of the ways of Treating Lumbar Spondylosis are:

• Modifying lifestyle including occupational changes if doing hard physical work, losing weight and stopping smoking.
• Physical therapy which teaches the individual to strengthen the paravertebral and stomach muscles which lend support towards the spine. General exercises that really help build flexibility, increase flexibility and strength.
• A corset or perhaps a brace could be accustomed to provide support; cervical collars enables you to alleviate pain by restricting movement.
• Rest coupled with anti-inflammatory medications, muscle relaxants and analgesics.
• Stronger anti-inflammatory drugs like corticosteroids may also be injected into the joints to assist control pain.
• Cold or hot packs on the affected region, ultrasound and electric stimulation are the other treatments which are used.
In additional severe cases surgical methods are encouraged to improve pain and increase motion.


Physical Rehabilitation Management in Lumbar Spondylosis

Goals

Pain relief .
Restoration of movements.
Strengthening of muscles.
Education of posture.
Analysis of precipitating factors to lessen recurrence of the patient's problems.

Control over acute symptoms

Rest and Support- With acute joint symptoms, a lumbar corset might be helpful to provide rest to inflamed facet joints. When acute symptoms decrease, discontinue corset by gradually enhancing the time without the corset. Usually the most comfortable position is flexion, esp. if you will find neurologic signs due to reduction in the foraminal space from joint swelling or osteophytes.
Education of posture- Head, shoulders and neck should be supported by the rear rest of chair having a small pillow within the lumbar spine, feet supported and the arm sitting on arm rests or on the pillow in the lap.
Modalities- Cold or hot packs on the affected region, ultrasound and electric stimulation are the other treatments which are accustomed to decrease pain and lower muscle spasm.
Relaxation- by soft tissue techniques. Teach self relaxation techniques,e.g like breathing exercises and physiological relaxation (Laura Mitchell method) and hydrotherapy.
Traction- Gentle intermittent joint distraction and gliding techniques may inhibit painful muscle responses and supply synovial fluid movement inside the joint for healing.
Gentle ROM inside the limits of pain-.

Strategy to Spinal Stenosis 
Control over subacute and chronic phase

Increase ROM- Free active exercises of lumbar spine. Pelvic tilting forward, backward in crook lying, quadriped, sitting and standing.
Mobilization- Restoration of intersegmental mobility by accessory pressure enables the individual to regain full functional painfree movement.
stretches.
Strengthening exercises.
Posture correction.