post operative lumber disc prolapse!!!

[junior_physiotherapist]

HI All:

many thanks for ur relevant inputs...

*The patient underwented a canal cleaning through surgery -as i told at least-

*Regarding to applying ice packs i thought isn't benefit her muscles spasms need more hot packs..

**we accept to make assessments by refferal from their physicians..


Regards

[asha]

Her cervical disc may or maynot be symptomatic. Dont go by the CT/MR. Since she has undergone a surgical procedure for her lumbar spine, it is unstable. the cervical pain could disappear if the spine is stabilised. Try to stabilise the patients spine using a straight back chair. Give a lumbar roll or a small cushion at the back. The back has to be well supported well in to the dorsal spine. See if the pain disappears. If it does, all that you need to do is to develop the core muscles without putting undue stress at the lumbar, work up the back extensors, & the job is done. If supporting the back does not relieve the pain, just use mckenzie techniques & explore in sagittal & frontal planes. Try retraction first, then exlpore same side flexion or same side rotation. These could be attempted in supine & then sitting or vice versa depending on the clinical picture.
asha

[junior_physiotherapist]

If it does, all that you need to do is to develop the core muscles without putting undue stress at the lumbar, work up the back extensors, & the job is done. If supporting the back does not relieve the pain, just use mckenzie techniques & explore in sagittal & frontal planes. Try retraction first, then exlpore same side flexion or same side rotation. These could be attempted in supine & then sitting or vice versa depending on the clinical picture.
asha[/QUOTE]

Firstly thanks for going bach to me!

secondly,regarding to develope a core muscles .. would u plz feed me more..

thirdly,my patient doesn't tolerate a prone position ..so how i can apply
a Mcenzy!!
Forthly,how i can apply a retraction..

Regards