Lumbar Radiculopathy Treatment: Difference between revisions
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=== Manual Therapy === | === Manual Therapy === | ||
Manual therapy techniques can include a number of different hands on approaches. Commonly used manual therapy techniques utilized with patients dealing with lumbar radiculopathy include mobilization of the lumbar spine, mobilization of the nerves, or manipulation. Aspects to keep in mind when deciding to use any hands on technique are contraindications, along with the skill level of the provider and comfort level of the patient. There are patients who's pain symptoms are very irritable to which manual therapy techniques may intensify the pain symptoms. | |||
==== Mobilization ==== | |||
Spinal mobilizations are passive movement of a spinal segment that follows a grading scale (I-IV). The goal with mobilizations can be to decrease pain symptoms and improve spinal mobility. There is evidence to show that the use of spinal mobilization can be beneficial in the treatment of lumbar radiculopathy. Several studies have found the use of spinal mobilizations with leg movement show some benefit in decreasing pain<ref>Kuligowski, T., Skrzek, A., & Cieślik, B. (2021). Manual therapy in cervical and lumbar radiculopathy: a systematic review of the literature. ''International journal of environmental research and public health'', ''18''(11), 6176.</ref> <ref>Ashraf, B. U. S. H. R. A., Ahmad, S. H. A. K. E. E. L., Ashraf, K. A. S. H. I. F., Kanwal, S. U. M. A. I. R. A., Ashraf, S. H. A. Z. I. A., Khan, N. O. U. M. A. N., ... & SHAFIQUE, S. (2021). Effectiveness of spinal mobilization with leg movement versus McKenzie back extension exercises in lumbar radiculopathy. ''Pakistan J. Med. Heal. Sci'', ''15''(5), 1436-1440.</ref><ref>Danazumi, M., Bello, B., Yakasai, A. & Kaka, B. (2021). Two manual therapy techniques for management of lumbar radiculopathy: a randomized clinical trial. ''Journal of Osteopathic Medicine'', ''121''(4), 391-400. [[/doi.org/10.1515/jom-2020-0261|https://doi.org/10.1515/jom-2020-0261]]</ref><ref>Bello, B., Danazumi, M. S., & Kaka, B. (2019). Comparative Effectiveness of 2 Manual Therapy Techniques in the Management of Lumbar Radiculopathy: A Randomized Clinical Trial. ''Journal of chiropractic medicine'', ''18''(4), 253–260. <nowiki>https://doi.org/10.1016/j.jcm.2019.10.006</nowiki></ref>. Do keep in mind that in the studies, mobilizations were used in adjunct to other treatments, including exercises and modalities. This can demonstrate that the use of mobilizations should be used as a portion of a possible treatment. | |||
=== Exercise === | === Exercise === | ||
Revision as of 21:21, 31 January 2024
Introduction[edit | edit source]
Assessment[edit | edit source]
Red Flags[edit | edit source]
Treatment[edit | edit source]
Manual Therapy[edit | edit source]
Manual therapy techniques can include a number of different hands on approaches. Commonly used manual therapy techniques utilized with patients dealing with lumbar radiculopathy include mobilization of the lumbar spine, mobilization of the nerves, or manipulation. Aspects to keep in mind when deciding to use any hands on technique are contraindications, along with the skill level of the provider and comfort level of the patient. There are patients who's pain symptoms are very irritable to which manual therapy techniques may intensify the pain symptoms.
Mobilization[edit | edit source]
Spinal mobilizations are passive movement of a spinal segment that follows a grading scale (I-IV). The goal with mobilizations can be to decrease pain symptoms and improve spinal mobility. There is evidence to show that the use of spinal mobilization can be beneficial in the treatment of lumbar radiculopathy. Several studies have found the use of spinal mobilizations with leg movement show some benefit in decreasing pain[1] [2][3][4]. Do keep in mind that in the studies, mobilizations were used in adjunct to other treatments, including exercises and modalities. This can demonstrate that the use of mobilizations should be used as a portion of a possible treatment.
Exercise[edit | edit source]
Repeated Movements[edit | edit source]
Education[edit | edit source]
Modalities[edit | edit source]
Medication[edit | edit source]
Surgery[edit | edit source]
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
References[edit | edit source]
- ↑ Kuligowski, T., Skrzek, A., & Cieślik, B. (2021). Manual therapy in cervical and lumbar radiculopathy: a systematic review of the literature. International journal of environmental research and public health, 18(11), 6176.
- ↑ Ashraf, B. U. S. H. R. A., Ahmad, S. H. A. K. E. E. L., Ashraf, K. A. S. H. I. F., Kanwal, S. U. M. A. I. R. A., Ashraf, S. H. A. Z. I. A., Khan, N. O. U. M. A. N., ... & SHAFIQUE, S. (2021). Effectiveness of spinal mobilization with leg movement versus McKenzie back extension exercises in lumbar radiculopathy. Pakistan J. Med. Heal. Sci, 15(5), 1436-1440.
- ↑ Danazumi, M., Bello, B., Yakasai, A. & Kaka, B. (2021). Two manual therapy techniques for management of lumbar radiculopathy: a randomized clinical trial. Journal of Osteopathic Medicine, 121(4), 391-400. https://doi.org/10.1515/jom-2020-0261
- ↑ Bello, B., Danazumi, M. S., & Kaka, B. (2019). Comparative Effectiveness of 2 Manual Therapy Techniques in the Management of Lumbar Radiculopathy: A Randomized Clinical Trial. Journal of chiropractic medicine, 18(4), 253–260. https://doi.org/10.1016/j.jcm.2019.10.006
