Top
40
Doctor insights on: Back Pain Worse After Physical Therapy

Share
1

1
Upper back pain, worse when tense up muscle. Had for 4 month now. I'm 4 weeks into physical therapy pain getting worse. Had x ray. 15 deg scoli. Ideas?

Upper back pain, worse when tense up muscle. Had for 4 month now. I'm 4 weeks into physical therapy pain getting worse. Had x ray. 15 deg scoli. Ideas?

Ligament weakness: The pt is making unstable ligaments more unstable and more painful.

Prolotherapy can rebuild the ligaments and stop the pain permanently.

Visit www. Getprolo. Com or www. Aaomed. Org to find out about and find a doctor to do prolotherapy on you. ...Read more

Dr. Heidi Fowler
4,749 Doctors shared insights

Back Pain (Definition)

Pain in the back is a symptom that can be due to a number of causes including musculoskeletal or neurological problems or due to problems ...Read more


2

2
Hello, having lower back pain, especially when I'm laying down. Had physical therapy for 8 weeks. No relief, almost feels worse. Wondering if I should see a Physiatrist or an Orthopedic Surgeon?? Thanks!!

Hello, having lower back pain, especially when I'm laying down. Had physical therapy for 8 weeks. No relief, almost feels worse. Wondering if I should see a Physiatrist or an Orthopedic Surgeon?? Thanks!!

Either answer good: A physiatrist makes the most sense first. Either provider would be good though. So many people improve with PT, that was a good place to start, now more evaluation is needed. ...Read more

3

3
How long does it take for physical therapy to work for lower and middle back pain?

How long does it take for physical therapy to work for lower and middle back pain?

Days to Weeks: Physical therapy is helping the muscles loosen and strengthen around the spine and nerves to help with pain. It can take up to several weeks to get significant relief. ...Read more

4

4
I am 29 I have 2 kids I havehhave had severe back pain ever since I had my oldest son 5yrs ago. My Dr sends me to physical therapy. What should I do?

I am 29 I have 2 kids I havehhave had severe back pain ever since I had my oldest son 5yrs ago. My Dr sends me to physical therapy. What should I do?

Start with PT: There are many reasons for ongoing back pain; if it's been 5 years, you are not in acute danger, so you have time to follow a stepwise process by which you and your doc can figure our what's going on. Start with PT and you may see improvement. If not, your therapist may have insight into specific diagnoses. If you do PT w/out success, tell your doc you're ready for the next step in the process. ...Read more

5

5
Is there physical therapy for lower back pain?

Yes!!!: Here's a You Tube video I produced with our physical therapists...

http://www. Youtube. Com/watch? V=20zybMbnVoU

and here is a more in depth academic paper, with theory, "A phased rehabilitation protocol for athletes with lumbar intervertebral disc herniation"

http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC3812831/ ...Read more

6

6
Aquatic physical therapy - how helpful is it for low back pain?

Very: I like aquatic therapy for my patients with back pain because it allows them to get in the water and exercise while diminishing their own body weight and it's effect on the spine. ...Read more

7

7
I have back pain. I have some numbness down my spine. I have had 4epiderals I have had xrays physical therapy &take pain medication. I need this fixed.

I have back pain. I have some numbness down my spine. I have had 4epiderals I have had xrays physical therapy &take pain medication. I need this fixed.

See a Spine Surgeon: Not sure if you have a diagnosis yet as to what's causing your symptoms. Any pain/numbness/tingling going down your legs? In addition to xrays, you will need a MRI of your lumbar spine to better evaluate your spine and see what could be causing your symptoms-if coming from your spine. Getting an accurate diagnosis, will then better enable your doctors to formulate a more effective treatment plan. ...Read more

9

9
I have had two c-sections. I've had really bad back pain/spasms ever since. Meds and physical therapy haven't worked. Is there anything else I can do?

I have had two c-sections. I've had really bad back pain/spasms ever since. Meds and physical therapy haven't worked. Is there anything else I can do?

Workup: Pregnancy can put a lot of biomechanical strain on the lower back. Usually these symptoms reverse with delivery. If symptoms persist see your primary care specialist or a pain medicine specialist. They should examine you and determine if imaging studies are warranted. Imaging studies can help in diagnosing disc problems or any other abnormalities that may be responsible for your pain. ...Read more

10

10
Thoughts? Could physical therapy help my lower back pain?

Very likely....: Most adults will have back pain at some point in their lifetime. Common causes are musculoskeletal, strains, sprains, etc. In the absence of any neurological issues (ie. Muscle weakness) initial treatment includes: nsaid's (like ibuprofen), activity modification, stretching, and physical therapy. See your pcp for a prescription..... ...Read more

11

11
Can you tell me about physical therapy for low back pain?

First see an MD/DO.: You will need a diagnosis and referral to see a physical therapist. Consult a physiatrist who specializes in spine care to get a specific diagnosis. Then based on the specific cause of your back pain, the doctor can coordinate care (including specific physical therapy modalities and therapeutic exercise) for optimal outcome. ...Read more

12

12
What kinds of physical therapy exercises work for lower back pain?

Varies: Despite many years of research, there has never been one form of exercise that has proven superior to another for lower back pain. This is probably because back pain is not a single condition. Generally what we try to do is find exercises that can initially be done with reasonable comfort and then progress to more difficult and strenous ones as tolerated. ...Read more

13

13
I've had two c-sections and I have had extreme upper back pain and random spasms all over my back. Physical therapy and meds don't work. Any tips?

I've had two c-sections and I have had extreme upper back pain and random spasms all over my back. Physical therapy and meds don't work. Any tips?

See your doctor: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more

14

14
What is better for lower back pain, chiropractic therapy or physical therapy?

Neither..: 7.5 percent of caucasian patienists are b27 positive, a marker that relates to inflammation of the sacroiliac joints, called sacroiilitis.
This problem can be also associated with psoriatic arthritis (phil mickelson-golfer) and other types. You need medication for this to stop inflammation causing the problem. Of course exercise and massage are ueful for sore muscles, but a correct DX is needed. ...Read more

15

15
When to start physical therapy for sciatica and lower back pain, while in pain or wait until the pain is reduced?

When to start physical therapy for sciatica and lower back pain, while in pain or wait until the pain is reduced?

Not Known: Nothing can work fast, however if PT can relieve pressure on the spine where the nerve is getting pinched gets relief than pain relief can occur. If you are not improving after 2-3 weeks with regular therapy sessions, I would suggest seeing a pain/spine specialist to see if a cortisone injection might be helpful. ...Read more

16

16
Why wouldn't a doctors do further testing like xrays when I tell them I have shoulder and upper back pain even with physical therapy, pills, etc.?

Why wouldn't a doctors do further testing like xrays when I tell them I have shoulder and upper back pain even with physical therapy, pills, etc.?

Not necessary: For most back & joint pains, imaging like x-rays do not provide any more information than obtained through proper physical exam. Plus, it exposes you to unnecessary radiation and increases your cost. X-rays are really only good for fractures, dislocations, & other bony problems. Ct or MRI can give detailed info about muscles & nerves. But if it won't change the treatment, then what's the point? ...Read more

18

18
I have chronic lower back pain. I chose physical therapy instead of an epidural injection. Which is more effective or should I do both?

I have chronic lower back pain. I chose physical therapy instead of an epidural injection. Which is more effective or should I do both?

Depends on the cause: There r many causes of back pain. B evaluated by a spine specialist, once u know the cause, he/her will decide what 2 do based on experience ; training. ...Read more

19

19
Can physical therapy help with my lower back pain and the sciatica in my left leg?

Can physical therapy help with my lower back pain and the sciatica in my left leg?

Hard to Say: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read more

21

21
I have acute chronic low back pain. My orthopedic said to go for physical therapy instead of injections. Is there a limit to epidural injections?

I have acute chronic low back pain. My orthopedic said to go for physical therapy instead of injections. Is there a limit to epidural injections?

Yes and No: There are no limits to how many epidural injections you can have. That said repeated steroid based injections put your body at risk for other medical issues down the road. I am assuming based on your age your doctor wanted you to try a more conservative approach first and that is a good model to follow. However if your pain persists after a good physical therapy trial, consider the injections. ...Read more

22

22
Back pain L4/5 bulging discs, physical therapy doesn't help, but sitting on large excercise ball helps. Can I strengthen back/core muscles this way?

Yes: There are a few ways to strengthen your core and take some strain off of your low back joints and disks somewhat - usually the PT can help design core strengthening exercises for you to work on nand progress with over about 8 weeks - however, it is possible that PT in general can aggravate whatever the pain generator in the back is as well ...Read more

23

23
I have neck, shoulder and mid back pain. I have tried physical therapy, chiropractic, accupressure, but nothing seems to help.?

I have neck, shoulder and mid back pain. I have tried physical therapy, chiropractic, accupressure, but nothing seems to help.?

Time for re eval: Seems like a further evaluation is in order to see if these are separate but overlapping regional problems or really related to a cervical or neck diagnosis which now includes a good history and physical and then some imaging including x-rays and a mri. Medication and/or pain management procedures may be indicated based on this workup. ...Read more

24

24
I've been doing physical therapy, but after exercise yesterday, why would I have lower back pain radiating into my knee and front knee on the right?

Radiating pain: Pain after therapy radiating down the leg to the knee is most likely related to nerve irritation. I suggest you go back into the physician who referred you to physical therapy and be reassessed. ...Read more

25

25
I have severe low back pain and have 2 bulging discs in T11 &t12 I have had 13 facet inj which have not helped and physical therapy not helped either?

Hard to Say: Without evaluating you fully what to do. Recommend if you are not getting relief, seek another opinion. See a Pain/Spine specialist that is fellowship trained and has understanding of the musculoskeletal system like a physiatrist. ...Read more

26

26
Normal cervical MRI for upper back pain. My doctor said chronic muscloskeletal pain? What do I do for this besides physical therapy.

Normal cervical MRI for upper back pain. My doctor said chronic muscloskeletal pain? What do I do for this besides physical therapy.

See details: It is difficult to say without being able to perform an exam and review the MRI. A cervical MRI is to evaluate neck pain and not upper back pain. See an orthopedist or rheumatologist. ...Read more

27

27
What is more effective for low back pain and joint pain; physical therapy or chiropractic?

What is more effective for low back pain and joint pain; physical therapy or chiropractic?

Depends: Both specialists overlap quite a bit. Just depends on what you are comfortable with. Physical therapy is now doing a lot of manipulation therapies and vice versa chiropractors are noting the benefit of active exercise therapy for their patients as well. Often times seeing an sports medicine physician might be helpful since they have experience with both care types to guide you. ...Read more

28

28
Chiropractors, massage therapy, acupuncture, physiotherapy - which is the best treatment for back pain?

All and none: Everything depends what is the cause for pain. If your family doctors rules out serious pathology, i.e. Fracture, cancer, infection, etc., then try acupuncture, pt, chiropractor, depending on your preferences. Stay away from motrin, alive, celebrex, (celecoxib) etc. There is no inflammation with back pain. Use of this type of drugs actually proven to delay healing in spite of "helping" (more like masking) pain. ...Read more

29

29
What is the best pain med to help with severe chronic back pain when all other options have failed? Have tried trig point inject, phys therapy

Try osteopathic tx: Why not try osteopathic medical treatment by a trained do, or osteopathic doctor, who can do a complete musculoskeletal diagnosis of your condition, and also take into consideration past and recent traumas, medical conditions, etc.? This could be affecting the fatigue from your chronic pain. Go to the aoa. Org website, and look up a doctor in your town, and get a second opinion and treatment. ...Read more

30

30
My husband has a moderate vcf for 2 weeks. Severe back pain. When can he start doing exercises at home, and when should he start phys therapy? Thanks.

My husband has a moderate vcf for 2 weeks. Severe back pain. When can he start doing exercises at home, and when should he start phys therapy? Thanks.

Compression fracture: If vcf is a vertebral compression fracture, then the return to exercise depends n the level and location (cervical, thoracic or lumbar). Some times bracing is required and return to exercise is dependent on followup films and neurologic assessments. ...Read more

31

31
My husband has a moderate vcf for 2 weeks. Severe back pain. When can he start doing exercises at home, and when should he start phys therapy? Thanks.

VCF Older: For any low energy fracture, nonsurgical treatment is fine. Allowing increased activity as pain allows is the answer. The first 3 weeks are toughest with decrease in pain as the bone heals (which it does 70% of the time). Osteoporosis eval is mandatory to prevent more fractures. Kyphoplasty is an excellent and fast solution if pain persists or worsens. ...Read more

32

32
I have lower back pain I got treated with physio therapy nothing helped when the pain is intense it goes down my leg what to do?

Pain: You should see your neurologist or doctor to get further evaluated (e.g., imaging studies) if not done already and to determine a different medication that will help more. ...Read more

33

33
Hv herniated disc, severe arm/neck/back pain & ortho has recommended epidural injection b4 phys therapy. Wld like other opinions if inj should be 1st?

Hv herniated disc, severe arm/neck/back pain & ortho has recommended epidural injection b4 phys therapy. Wld like other opinions if inj should be 1st?

Herniated disc: I would agree with your doctor, based on severity of the pain. If in doubt, you can always seek second opinion. ...Read more

34

34
Have upper back pain for 3 months. I'v had MRI, Xray, blood test, and Phys Therapy. Doctor doesn't know cause but recommends TCA. Is TCA best option?

Have upper back pain for 3 months. I'v had MRI, Xray, blood test, and Phys Therapy. Doctor doesn't know cause but recommends TCA. Is TCA best option?

TCA: This is an option. Continue your physical therapy or at least home exercises. Keep moving. One thing about the use of TCA is you should notice benefit in 2 to 4 weeks. ...Read more

35

35
How does physical therapy help lower back arthritis? I suffer from artritis in my lower back and my doctor wants me to go to physical therapy, I am concerned that I will pay for something that will do absolutly no good but the back pain has become incresi

SOME BENEFITS: Although part of goal is create less discomfort, the ultimate success should be gauged based on increased flexibility and strength which can prevent another episode of deterioration, and eventually protect you from acquired injuries secondary to trivial exertion. Have found the best rehab programs include mckenzie back exercises, but feldenkreis approach is also of value. ...Read more

36

36
Exercises to avoid during early pregnancy? Just learned I am, but need physical therapy due to chronic back pain now affection nerve in left thigh.

Normally PT: Is okay while pregnant. Inform your pt about this as the only thing you really do not want to do is anything new that is very strenuous that could cause physiologic stress. Basic pt should be okay, but discuss with your OB and pt to be safe. Your back pain will get worse with the pregnancy, most likely, so its a good time to make sure you are preparing yourself for the next nine months. Congrats! ...Read more

37

37
Can physical therapy for low back pain or neck pain help during pregnancy?

Yes: It's best to see a physical therapist or doctor of osteopathic medicine to help stretch out contracted muscles and release tension from baby. ...Read more

38

38
I have chronic back pain and have for about 4 years, also get back spasms I am going to physiotherapy but not2helpful. What else should I tell my doc?

Get imaging: You are too young to have chronic back pain that does not respond to pt. Get some images and your primary care should be able to direct you in the right direction. ...Read more

39

39
I have quite intense lower back pain for the past few days, but Keycare Plus seems not to cover for physiotherapy and I cannot afford payment. What medical care is available on my plan? I did not specifically injure myself.

I have quite intense lower back pain for the past few days, but Keycare Plus seems not to cover for physiotherapy and I cannot afford payment. What medical care is available on my plan? I did not specifically injure myself.

Consult Your GP: Hi Lourens

Please consult one of your 2 chosen GP's (or an out-of-network GP) who should be able to assess/diagnose/treat/manage you accordingly.
I suggest you refrain from any strenuous physical activity until you've been properly attended to.

All of the best Lourens ...Read more

Dr. Jay Rosenfeld
3,582 Doctors shared insights

Physical Therapy (Definition)

Physical therapy can provide back exercises to relieve tension on discs and nerves in the back in order ...Read more


Dr. Dennis Giannini
3,250 Doctors shared insights

Physiotherapy (Definition)

Physiotherapy programs, or physical therapy, work to improve movement capacity in those recovering ...Read more