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Doctor insights on: Physical Therapy Vs Surgery For Back Pain

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

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

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Dr. Heidi Fowler
3,292 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


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Physical therapy vs. Physiatry? Which is better for neck pains?

Physical therapy vs. Physiatry?  Which is better for neck pains?

Different: A physiatrist is a medical doctor who takes a history, reviews your records, & examines you to identify the source of your pain & give a medical diagnosis. A physical therapist can evaluate your neck and design therapies (stretching, strengthening, manual therapy, heat, traction, electrical stimulation, joint mobilization). Best to get a diagnosis first, them customize therapy for the diagnosis. ...Read more

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I have a C5 herniation. What is the recommended treatment for pain management? Surgery? Chiropractor? Physical therapy?

I have a C5 herniation.  What is the recommended treatment for pain management? Surgery? Chiropractor? Physical therapy?

Depends: Surgery maybe recommended if you are having weakness. If no true weakness conservative treatment with osteopathic manipulation, chiropractic manipulation, and/or physical therapy may all help. Often a short course of steroids may be appropriate. Other medications that may help include anti-inflammatories and medications such as neurontin, Lyrica (pregabalin) and flexeril. ...Read more

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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

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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

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Should i get physical therapy or muscle activation therapy following arthroscopic shoulder surgery?

Should i get physical therapy or muscle activation therapy following arthroscopic shoulder surgery?

Yes : You should follow post-surgery instructions which almost certainly would include physical therapy/rehabilitation. This is usually critical to getting back to optimal function. Your surgeon will refer you and you should follow the prescriptions from him and the rehab medicine specialists or physical therapists. ...Read more

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Does laser pain therapy work for a ruptured disk and chronic back and neck pain?

Does laser pain therapy work for a ruptured disk and chronic back and neck pain?

Watch for gimmicks: Lasers are sometimes used in certain minimally invasive spine surgeries for herniated discs that have failed to respond to nonop care. ...Read more

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

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

Yoga: There are many reasons and solutions for lower back pain, which is an extremely common complaint. The main problem often stems from weak trunk muscles. The muscles of the trunk support the structures of the back, therefore, strengthen the trunk and the back is better supported. Try yoga, try abdominal exercises, or simply go for brisk walks with good posture. ...Read more

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Cervical hnp diagnosed.Arm shoulder neck pain persist even after various nonsurgical management for a year.Is surgery thr only option?Or stick w nonop

Cervical hnp diagnosed.Arm shoulder neck pain persist even after various nonsurgical management for a year.Is surgery thr only option?Or stick w nonop

See details: Without being able to perform an exam and review MRI results, it is impossible to be precise. However, a year of conservative therapy without improvement is long enough. ...Read more

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What is treatment for ilotibial band burning and pain after physical therapy didn't help?

What is treatment for ilotibial band burning and pain after physical therapy didn't help?

Difficult: This is a tough one. Itb symptoms can be very difficult to treat and often times persistent pt and time are the best answer. Topical nsaids such as voltaren gel or Flector Patch (diclofenac) may help. Consider massage therapy. Tens units (electrical stimulation) sometimes help. Lastly, local steroid injections are an option as well. ...Read more

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Could physical therapy for a dislocated shoulder replace surgery?

Could physical therapy for a dislocated shoulder replace surgery?

Yes: Physical therapy can absolutely treat the problem but depends on whatever else may be wrong such as a rotator cuff tear, or a fracture. Is this a first time dislocation? What kind of work do u do? Did you have to have the shoulder put back in place in the hospital? ...Read more

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Will i need physical therapy after hip resurfacing? Will i need ongoing treatment such as physical therapy after my hip resurfacing procedure? .

Will i need physical therapy after hip resurfacing? Will i need ongoing treatment such as physical therapy after my hip resurfacing procedure?

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PT: Physical therapy is very beneficial to aid your recovery after hip resurfacing. Your orthopaedic surgeon can prescribe the pt for you. Regular participation in therapy and independent exercises will help facilitate your recovery. ...Read more

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Is a formal physical therapy program necessary after total shoulder arthroplasty for osteoarthritis?

Is a formal physical therapy program necessary after total shoulder arthroplasty for osteoarthritis?

Yes.: Physical therapy is necessary to restore range of motion, strength and function to your shoulder. It is also important in minimizing the risk of developing a frozen shoulder post-operatively. ...Read more

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What is the duration for the physical therapy treatment for cervical disk herniations, and is physical therapy needed, or home exercises are enough?

What is the duration for the physical therapy treatment for cervical disk herniations, and is physical therapy needed, or home exercises are enough?

Highly individual: Many, if not most, patients will benefit from physical therapy as part of conservative therapy for a herniated cervical disc. Pain control medicines, muscle relaxants & anti-inflammatories are first line.Physical therapists can instruct in avoiding painful positions & appropriate exercise as well as treat with ice/heat, traction, ultrasound, TENS, bracing. Home therapy follows after a few sessions ...Read more

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Ulnar entrapment for 8 months. Physical therapy and 2 cortisone shot. Felt better but pain came back intense. Other options besides surgery?

Ulnar nerve: Splinting in extension at night can be tried. If PT didn't try nerve gliding exercises that is a thought. Otherwise not much more non-operative treatment ...Read more

Dr. Jay Rosenfeld
1,068 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
737 doctors shared insights

Physiotherapy (Definition)

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