herniated disc and spondylolithesis

[flowers2007]

Peace be upon you .. I hope I have a question answered fast .. I have a patient female 60-year-old complained of pain in her back due to a herniated disc and spondylolithesis .. very severe type of pain requires them to carry out the process (operative) in next week .. trumpeted me 5 sessions did not improve, but the pain is increased and she can't move.. Of course, forbidden by the exercises .. But using ultrasound and shortwave, IF, HP did not improve .. Is there any change in parameter of electro as general

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[physiobob]

I just added the following comments on another post and they are just a relevant here:

Perhaps you can also work on relieving exercises that assist flexion. This can assist a low grade spondylolithesis to reduce somewhat. Also if the general Lx and Tx are hypomobile then assisting those to get moving, whilst protecting the L4/L5 segment, will be of assistance to the patient. We all now that in this case the segment will not tolerate extension very well. But in fact the segments above still need to extend so that the amount of Ext on the L4/l5 is minisized. You can do all sorts of abdo exercises designed to maintain the lumbopelvic position whilst the other areas of the body move (e.g. Tx extension). So in other words think above and below the level to ask 'Is there something I can do here that will help minimize the forces on the problematic segment'.

And perhaps the last thing is that the vast majority of spondylo's are asymptomatic. Just because a client has one on x-ray doesn't always confirm that it is the cause of their symptoms

[flowers2007]

Thank you, Mr.
But for electro there is no need to change parameter ??

[physiobob]

The Spondylolithesis is a boney alignment issue and therefore unless the result of an acute feacture does not alter your basic electrotherapy assumptions. They should look to the tissue you are trying to affect, the contraindications and the irritability in relation to the acute/chronic nature of the presentation. i.e. Think about the tissue you are trying to affect, why you are trying to affect it, is it really the issue and then put the usual parameters into place for that.