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Hospital  >  Departments  >  Ophthalmology & Vision Sciences  >  Welcome to Ophthalmology & Vision Sciences

Patient Education: Diseases Conditions Treatments & Procedures

Back pain

Facts and Myths about Back Pain Treatment

  1. Spinal manipulation - is safe and effective for patients in the first month of acute low back symptoms without leg symptoms. For symptoms lasting longer than 1 month, efficacy is unproven.
  2. Traction - no role in acute low back pain.
  3. Physical modalities - massage, diathermy, ultrasound, TENS, hot or cold therapy have no proven efficacy in the treatment of acute low back symptoms.
  4. Invasive techniques - facet joint injections, epidural steroids have no proven efficacy.
  5. Lumbar corsets - no role; may potentate deconditioning of spinal musculature.
  6. Bed rest - more than 3days leads to debilitation and muscle weakness and stiffness. Itis not recommended for treating low back problems.
  7. Exercise - low impact aerobic exercise can prevent debilitation due to inactivity; ( walking, biking or swimming). Conditioning exercises for trunk muscles (back extensors), are helpful after two weeks of aerobic exercise. Evidence does not support a benefit from back specific exercise machines over traditional exercise. We favour core strengthening exercises like Pilates and Yoga.

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