View source for Merging stratification approaches in physical therapy management of a case of subacute low back pain

== Intervention  ==

*Patient education. She was educated on the fact that a protruded disc on MRI does not constitute proof of cause with LBP and that the prognosis was good highlighting the positive elements of her case including her premorbid exercise habits, and the fact that she remained at work through the episode. 
*Back care advice: given the nature of her work and the MRI confirmation of a disc protrusion, the patient was also taken through a 1 on 1 session of biomechanical strategies to reduce the rate of progression of the lumbar disc degeneration, including the safe execution of exercises in her cross-fit program and ADLs. 
*Progressive core muscle activation with emphasis on correct form. 
*Staged reactivation: As part of the strategy to combat her fear of pain, a deliberate attempt is made to equip the patient to succeed on attempts to master new skills. Once she had progressed to the point where she was activating her spinal stabilizers effectively, we incorporated that activation into various postures and then movement including standing, reaching and walking. 
*She has completed 3 treatments in as many weeks