General aspects of management

Relative rest

For acutely painful back problems 2 days strict rest lying on a firm surface is optimal treatment. 8 Resting for longer than 3 days does not produce any significant healing.

Patient education

Appropriate educational material leads to a clear insight into the causes and aggravation of the back disorder plus coping strategies.


An early graduated exercise program as soon as the attack phase settles has been shown to promote healing and prevent relapses. 9 All forms of exercise (extension, flexion and isometric) appear to be equally effective with extension exercises being favoured for a discogenic problem and flexion exercises for most dysfunctional problems (see Figs 33.14a , b). Swimming is an excellent exercise for back disorders.

Fig. 33.14 Examples of exercises for low back pain: (a) rotation exercise; (b) flexion exercise

Back Pain Relief

Back Pain Relief

This informational eBook will present you with the most recent research and findings available so that you can learn more about Back Pain relief, covering as many bases as possible from A to Z.

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