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The mainstay of the treatment is;
a) Heating pad
d) Local analgesic cream/spray
c) Analgesics; paracetamol/Ibuprofen
d) Lidocaine skin patch
e) Rest; avoid painful activities
f) Back brace.
1) The following more need to be done:
a) Avoid activities that increase pain.
b) Rest intermittently
c) Avoid bending at 90 degrees
d) Pushing and pulling should be avoided until the pain subsides
f) Avoid prolonged sitting and standing
g) Avoid sitting or sleeping on the floor
2) Anti-inflammatory analgesics like ibuprofen, other analgesics, and muscle relaxants
3) Local analgesic gels or sprays/ointment
4) Hot fomentation
5) Electrotherapy like transcutaneous electrical nerve stimulation: done by the physical therapist. Other things are ice packs, heating pads, electrical stimulation, phonophoresis, iontophoresis, relaxation, and biofeedback.
6) Well-supervised physiotherapy later on: The exercises consist of abdominal bracing, modified sit-ups, double-knee-to-chest or low back stretches, seat lifts, mountain and sag exercises, knee-to-elbow exercises, hamstring stretches, extension exercises, and extension flexibility exercises. Swimming exercises (pool exercises) are best for back pain. Initial stretching and later strengthening exercises are taught.
7) Lumbosacral corset or support or back brace.
She may start these exercises;
1) Straight leg raising: Lie on the bed with your back and remain in a relaxed position. Slowly raise one of your legs upward and keep it as straight as possible. Count up to ten, and slowly bring down the leg. Do the same with the other leg. Repeat this exercise ten times.
2) Curl-ups; lie on the back with knees bent, fold arms across the chest, tilt the pelvis to flatten the back, and curl-up lifting the head and shoulders from the bed/couch. Hold for ten seconds, then slowly lower to the starting position. As strength builds, aim to complete one set of ten curls. The exercise should be done twice a day (both sets).
This is a slide show for the exercises later on for the prevention (you can pick up your own set, which suits you);