Most low back pain patients experience three general stages before maximum recovery and rehabilitation is obtained:

Transcription

1 Mst lw back pain patients experience three general stages befre maximum recvery and rehabilitatin is btained: 1. Stage 1 Acute/Pain Stage 2. Stage 2 Subacute/Recvery Stage 3. Stage 3 Chrnic/Rehabilitative Stage Stage 1 Acute / Pain Stage (Signs and Symptms) Lw back pain Muscle weakness Leg pain Splinting muscle spasm Antalgic (bent) psture Inability t stand n heels r tes Aggravated by sitting, standing, bending, cughing, sneezing, straining Difficulty in rising frm a sitting r lying psitin Stage 2 Subacute / Recvery Stage This stage is when the majrity f yur signs and symptms frm the acute stage have subsided. Yu may cntinue t experience a dull, aching sensatin in yur lw back, hips r legs, and pssibly have a weak feeling in the lw back r a general feeling f apprehensin. Standing straight, sitting and rising shuld be perfrmed with-ut pain. Sneezing and straining shuld nt aggravate r cause yu t have acute symptms. Stage 3 Chrnic / Rehabilitative Stage Yu will reach this stage when all f yur symptms f the acute and subacute stage have subsided, r where maximum imprvement in yur cnditin has been btained and lng-term strengthening f the lw back is abslutely essential.

2 ppsite leg. Repeat five times r as recmmended. Lie flat n the flr in a relaxed psitin. Bring yur right knee tward yur chest, clasping yur hands arund the knee. Pull yur right knee tward yur chest firmly and, at the same time, frcefully straighten the left leg. Hld fr three t five secnds. Relax tensin. D five times. Repeat same prcedure with Lie n the flr with yur knees bent, feet flat n the flr and arms at yur sides, palms dwn. Tighten the muscles f yur lwer abdmen and buttcks s as t flatten yur lw back. Slwly raise lw back and buttcks frm the flr and hld fr five secnds. Relax. D five times r as recmmended. Lie n yur back with yur knees bent, feet flat n the flr, hands at yur sides, palms dwn. Tighten the muscles f yur abdmen and buttcks s as t push yur lw back flat against the flr. Hld fr three t five secnds, relax. D five times r as recmmended.

3 (These exercises are t be perfrmed in additin t thse suggested fr the acute stage.) Lie n the flr with yur knees bent, feet n the flr and arms at yur sides. Bring bth knees t chest, clasping hands arund the knees and pulling firmly twards yur chest, Hld fr three t five secnds. Relax tensin. D five times r as recmmended. Lie n yur back, yur knees bent with feet flat n the flr, arms at yur sides, palms dwn. Raise yur left leg up as far as is cmfrtable withut ver-stretching muscles behind the leg. Return left leg t starting psitin and repeat five times. Repeat exercise with right leg. D five times r as recmmended. Lie flat n yur back, arms at yur sides, palms dwn. Slwly raise ne leg, bringing the raised leg tward the ppsite side f the bdy until yu feel the stretch. Return t neutral psitin. Repeat with ppsite leg. D five times r as recmmended. Standing with hands against wall, left ft apprximately eighteen inches behind right ft, keeping heel flat n the flr and left knee straight, slwly bend frward until yu feel the stretch behind the calf. Hld fr three t five secnds, release the tensin and repeat three t five times. Repeat with the ppsite leg. This exercise is designed t release tensin behind calf. Lie flat n flr, hands clasped behind the neck. Tighten buttcks and at the same time, lift head and shulders 2-4 inches ff the flr withut pulling n the neck. Hld fr three t five secnds, return t neutral psitin. Repeat five times r as recmmended. This exercise is mainly an abdminal strengthening exercise.

4 (These exercises are t be perfrmed in additin t thse suggested fr the acute and subacute stages.) Lie n yur back, with bth knees bent, feet flat n the flr. Bring ne knee t the chest, then straighten it t the vertical psitin, pinting the te upward as far as pssible. Bend knee back t chest and return t riginal psitin. Repeat with ppsite leg. D five times r as recmmended. Sit sideways n cuch, stretch ut right leg flat and put left ft n flr. Put left hand n left knee and reach frward with yur right hand fr the tes f the right ft. Reach as far frward as yu can withut discmfrt. Feel the stretch behind the right leg, hld fr three t five secnds and lean back t release the tensin. Repeat with same leg five times, then change psitin and repeat with ppsite leg. Standing with hands n hips, bend slwly t ne side, bending nly at the waist D nt flex hip r knee. Hld fr three t five secnds. Return t neutral psitin and repeat t ppsite side. D five times r as recmmended. Lie n back, knees bent, feet flat n flr, hands n chest. It wuld be helpful t put the feet under a heavy chair r sfa fr supprt r have smene hld the feet t the flr. Sit up t ne quarter the sitting psitin and hld fr three t five secnds. Relax. Repeat five times r as recmmended.

5 Lie face dwn n flr with large pillw under the hips and lwer part f the abdmen. Lift ne leg frm the flr, keeping leg straight, hld fr three secnds and relax. Repeat using ther leg. D five times r as recmmended. Lie face dwn n flr with a large pillw under the hips and lwer part f the abdmen. Place hands behind the hips and lift the head and shulders frm the flr being cautius nt t raise high enugh t cause pain in lwer back r create swayback. Resume resting psitin. Repeat five times r as recmmended. Lie n yur right side, raise left leg t as near a vertical psitin as pssible, repeat five t ten times. Repeat lying n left side and raising right leg. On hands and knees, draw ne knee tward chest, flexing trunk and neck at same time. Then swing leg back t the utstretched psitin, extending neck and back at same time. D five times r as recmmended. Repeat with ther leg. Assume a kneeling psitin, resting n yur hands and knees. Arch yur back like a cat, drp yur head at the same time. Then reverse the arch by bringing up yur head and frming a "U" with yur spine. D each set five times r as recmmended.