Low back pain with lateral shift

[physiobob]

Great to hear she is on the mend. it does sound like a posterolateral derrangement. a static position that increase the symptoms would have indicated that there was a block. The ext. in standing would have been to much load to make a reduction. a static supine extension then needs to be moved into a repeated extension in lying to mobilize the segment, perhaps with some simultaneous PA mobs to assist. You cold have started in the shift to reduce the discomfort and is movement improved slowly bring her back to midline. etc etc etc. If that was all to much then some way of tractioning her while passivley extending might have been an option. A lot of possible treatment techniques would depend on the iritability at the time and sometimes extension to soon is to much to take and you need give the client techniques to reduce any associated spasm to being with. This might include pain skiilers. Then get in there

[Termy]

Update. I met the patient last week again. She was almost, but not quite pain free. On a VAS pain scale she had 1, whereas she had 7-8 at our first meeting. I did try the supine extensions and varities of that one earlier on but she just got more radiating pain to her leg... tried a prone version as well with gradual movement from her shifted position to the midline. Anyway... she said she mostly did the exercises she started doing on her own to begin with, such as supine "leg-twists" for some lumbar mobility.. some stationary biking apparently felt good also. Maybe she would have spontaneously improved even without exercises.