Lumbar Spine
Lumbar spinal stenosis
- Narrowing of spinal canal
- Pain during standing and walking
- Relived during sitting
Treatment
- Electrotherapy
- IFT
- Dry needling
- Mechanical traction
Therapeutic Exercise
- Aerobic excersise
- Lumbar rotation stretch
- Double knee to chest
- Quadripod thoracic extension on elbow
- Hip flexor stretch
- Bridges
Manual Therapy
- Sacro- iliac joint mobilization
- Spinal joint mobilization
- Manual traction
Lumbar disc prolapse
- Typically presents on low back
- Refers to buttocks, thighs, leg,
- Worsens with flexion activities like sitting and bending
Special Test
- Quadrant test
- Straight leg raise
Treatment
- Electrotherapy
- IFT
- Dry needling
- Myofacial release
- Mechanical traction
Therapeutic Exercise
- Mckenzie therapy -directional preference exercises
- Mini squat
- Static bicycle
Manual Therapy
- Spinal joint mobilization
- Sacro-iliac joint mobilization
- Manual traction
Lower cross syndrome
- Result of muscle strength imbalance
- Tightness or over activity of hip flexors and lumbar extensors
- Weakness of abdominal muscles and gluteus muscles
- Presents as joint pain
- Breathing problems
Special Test
- Thomas test
- Straight leg raise
- Piriformis test
Treatment
- Electrotherapy
- IFT
- Ultrasound
- Dry needling
Therapeutic Exercise
- Iliopsoas stretch
- Erector spinae stretch
- Core stabilization exercise
- Postural re education
Manual Therapy
- S-I joint mobilization
- Spinal joint mobilization