In many cases of chronic low back pain, early and aggressive treatment produces optimum results for the patient. I have found the following three-step approach highly effective: spinal manipulation of the lumbopelvic area, along with the adjunctive therapies of rehabilitative exercise
Step 1: Spinal Manipulation
A "two-to-three-week regimen of daily spinal manipulations by an experienced chiropractor" brought significant improvement in 81 percent of totally disabled patients with chronic low back and referred leg pain, as reported in a study by Kirkaldy-Willis and Cassidy.1 The 238 subjects in this study were from a university back pain clinic for patients who had failed to respond to previous conservative or surgical treatment. The researchers stated: "In our experience, anything less than two weeks of daily manipulation is inadequate for chronic back pain patients".1
Step 2: Rehabilitative Exercises
The muscles of the torso and pelvis play an important role in providing support and stability to the lumbar spine, similar to guy wires supporting a telephone pole.5 Involving the patient in an appropriate low back exercise program has been found to be very beneficial,6 even in herniated disc cases.7 Flexibility and strength exercises can bring about rapid improvements in lumbar spinal function and decreases in pain levels
Step 3 : Watch This Video
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