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    Jun 8, 2018

    Bed rest for sciatica

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    Leg pain due to neural tissue involvement is typically a very painful disorder (radicular pain).

    Allow short recovery periods in bed, but prolonged rest as a form of therapy should be discouraged.

    From a biopsychosocial perspective, the importance of encouraging activity and participation in work and everyday life to improve long term outcomes.

    Drug management do not provide convincing benefit and opioids may even prolong neuropathic pain and lead to addiction.

     

     

     

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    • OMTA
      Jul 8, 2018

      Non‐specific low back pain Clinical practice guidelines

      Clinical practice guidelines for the management of non‐specific low back pain in primary care: an updated overview clinical practice guidelines containing recommendations for non-specific LBP have been issued or updated since last overview in 2010.
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    • OMTA
      Jun 28, 2018

      Clinical Practice Guidelines Neck Pain: Revision 2017

      Summary of Recommendations for neck intervention (Continued): NECK PAIN WITH HEADACHES Acute: - Clinicians should provide supervised instruction in active mobility exercise. - Clinicians may provide C1-2 self-sustained natural apophyseal glide (self-SNAG) exercise. Sub acute: - Clinicians should provide cervical manipulation and mobilization. - Clinicians may provide C1-2 self-SNAG exercise. Chronic: - Clinicians should provide cervical or cervicothoracic manipulation or mobilizations combined with shoulder girdle and neck stretching, strengthening, and endurance exercise. NECK PAIN WITH RADIATING PAIN Acute: - Clinicians may provide mobilizing and stabilizing exercises, laser, and short-term use of a cervical collar. Chronic: - Clinicians should provide mechanical intermittent cervical traction, combined with other interventions such as stretching and strengthening exercise plus cervical and thoracic mobilization/ manipulation. - Clinicians should provide education and counseling to encourage participation in occupational and exercise activities.
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    • OMTA
      Jun 27, 2018

      Clinical Practice Guidelines Neck Pain: Revision 2017

      Summary of Recommendations for neck intervention (Continued): NECK PAIN WITH MOVEMENT COORDINATION IMPAIRMENTS (including whiplash-associated disorder [WAD]): Acute: - Clinicians should provide the following: • Education of the patient to Return to normal, non-provocative pre-accident activities as soon as possible. - Minimize use of a cervical collar. - Perform postural and mobility exercises to decrease pain and increase ROM. - Reassurance to the patient that recovery is expected to occur within the first 2 to 3 months. - Clinicians should provide a multimodal intervention approach including manual mobilization techniques plus exercise (eg, strengthening, endurance, flexibility, postural, coordination, aerobic, and functional exercises) for those patients expected to experience a moderate to slow recovery with persistent impairments. - Clinicians may provide the following for patients whose condition is perceived to be at low risk of progressing toward chronicity: • A single session consisting of early advice, exercise instruction, and education • A comprehensive exercise program (including strength and/or endurance with/without coordination exercises) • Transcutaneous electrical nerve stimulation (TENS) - Clinicians should monitor recovery status in an attempt to identify those patients experiencing delayed recovery who may need more intensive rehabilitation and an early pain education program. Chronic: - Clinicians may provide the following: • Patient education and advice focusing on assurance, encouragement, prognosis, and pain management. • Mobilization combined with an individualized, progressive submaximal exercise program including cervicothoracic strengthening, endurance, flexibility, and coordination, using principles of cognitive behavioral therapy. • TENS Read details of the guidelines: https://www. jospt.org/doi/full/10.2519/jospt.2017.0302
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