Doctor insights on:
Back Pain Worse After Physical Therapy
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?
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
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!!
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
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
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 moreSee 2 more doctor answers
I've been having chronic back pain for 3 months. Physical therapy didn't help. What pain medicines do you recommend and tx options should I try next?
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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
Started physical therapy today (for my lower back pain and sciatica), is it normal that I feel more in pain now (while the PT, I felt pain relief)?
I have chronic lower back pain. I chose physical therapy instead of an epidural injection. Which is more effective or should I do both?
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 moreSee 1 more doctor answer
I have lower back pain that radiates down front of legs. Not getting better after 3 weeks physical therapy. What should I do next?
Evaluate: See a dr. And get appropriate diagnostic tests. Medications might help. ...Read more
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