PHYSIOTHERAPY OF LUMBER SPINE 

Lumber spine is refer to low back where spine curve in word means to word the abdomen. now a days low back pain is very common in all kind of people mostly female are the victim of this disease unlike males .

there are many cause of low back pain some time its fracture ,muscles spasm or some time notice that cause are idiopathic 

joints pain also cause the low back pain causes of low back is mention below 

1. uric acid level : when uric acid level get rise its show the pain in all joints specially metatarsal joints then lumber spine.its is vary painful disease which make you upset regarded to you health 

2.ESR:

 erythrocyte sedimentation rate show the inflammation  in the human body like infection ,cancer ad autoimmune diseases which mainly affect both gender male as well as female 

3.R.A FACTOR:

rheumatoid arthritis is show R.A factor 

basically its is autoimmune disease which shows be measured in laboratory test called RA factor which also cause low back pain or lumbar spine pain 

4.SOFT TISSUE INJURIES :

connecting tissback pain  

ue play supporting role to project the bone and nerve when the supporting tissue get spasm or injured which lead low back pain or also the sourse of fracture 

5.MUSCLE &LIGAMENTS :

pulled muscle and ligaments also cause low 

TREATMENT OF LOW BACK PAIN 

low back pain is treatable disease .

low back pain treated both with medicine or physiotherapy bust physiotherapy play supporting role to get it best to better .there are two types of low back pain .

physiotherapy lumber care 

1. ACUTE LOW BACK PAIN 
2.   x-rays or MRI help to dragons the acute lowback pain commonly it  is not necessary for patients who have had nonspecific low-back pain for a short time. 

1. These patients often improve on their own and usually should remain active
2. , learn about back pain and self-care options, and consider non drug therapies, including spinal manipulation, if pain persists longer than 4 weeks.

CHRONIC LOW BACK PAIN

use  OF drugs FOR LONG TIME does not improve functioning for patients with chronic low-back pain IT IS ALSO NOT THE BEST WAY TO CURE THE LOW BACK PAIN. However, these patients may benefit from non drug therapies, including spinal manipulation. Psychological and social factors also may play a role in chronic low-back pain. many patients do not become pain free by drug therapies they can cure by physiotherapy sources 

key points 

• man spine 
• Spinal manipulation appears to be a generally safe treatment for low-back pain when performed by a trained and licensed practitioner. 

• physiotherapy have many  options like exercise, 
• massage,that can provide mild-to-moderate relief from low-back pain. 
• Spinal manipulation appears to work as well as conventional treatments such as applying heat,
•  using a firm mattress, and taking pain-relieving medications.st common side effects 
• discomfort is. Serious complications are very rare.
•  minor and go away within 1 to 2 day
• Cauda equina syndrome (CES), a significant narrowing of the lower part of the spinal canal in which nerves become pinched 

• cauda equinqa syndrome may cause pain, weakness, 
• loss of feeling in one 
•  both legs
•  bowel 
•  bladder problems, may be an extremely rare complication of spinal manipulation. However, it is unclear if there is actually an association between spinal manipulation and CES.
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