Keep your notes going as you proceed with these treatments
Keep your notes going as you proceed with these treatments
After treatment, record all changes in your Outcome Measures
11: Soft tissue massage, as pain allows
2: Mobilise each segment (as pain allows).
14: Mobilise transverse process on the opposite side of the spine to the affected leg, as pain allows. tip: L4 is the same level as the top of the pelvis, go down slightly to find L5 or up to L3
3: Pain free pelvic tilts in sitting, by tilting pelvis forwards and backwards.
1: Pain-free repeated prone extensions – Lie on stomach and gently push up with hands, curling lower back upwards. Stop extensions if symptoms worsen.
8: Lie on back with knees bent. Hold pelvic muscles and pull in stomach muscles. Hold 10 secs
5: Keep knees together, roll from side to side, 5 times each side.
6: With feet close and knees bent, lift bottom. Repeat 10 times, rest and then repeat.
10: Sitting in a slump position, only if pain free, move foot and head at the same time, in the same direction. Repeat x 10. If it worsens, stop! warning - only do this exercise in pain free range
13: Passive movements for lateral rotation of hip. Patient will do home stretches whilst sitting, if able.
17: Stretch hamstrings and hold for 30 secs
19: Use heat e.g. hot water bottle to lumbar area to help relax muscles and assist pain relief. Ensure heat is not applied directly to skin and area is checked regularly
8: Lie on back with knees bent. Hold pelvic muscles and pull in stomach muscles. Hold 10 secs.
3: Pain free pelvic tilts in sitting, by tilting pelvis forwards and backwards.
5: Keep knees together, roll from side to side, 5 times each side
7: Pelvic floor exercises (when going to the toilet, stop mid-flow and feel muscles work) Try and repeat muscle contraction when doing daily activities e.g lifting, walking
9: While seated, rest hands on knees and slide forward as far as possible, repeat slowly
2: Mobilise each segment (as pain allows)
14: Mobilise transverse process on the opposite side of the spine to the affected leg, as pain allows. tip: L4 is the same level as the top of the pelvis, go down slightly to find L5 or up to L3.
11: Soft tissue massage, as pain allows.
8: Lie on back with knees bent. Hold pelvic muscles and pull in stomach muscles. Hold 10 secs.
3: Pain free pelvic tilts in sitting, by tilting pelvis forwards and backwards
5: Keep knees together, roll from side to side, 5 times each side.
9: While seated, rest hands on knees and slide forward as far as possible, repeat slowly
6: With feet close and knees bent, lift bottom. Repeat 10 times, rest and then repeat.
7: Pelvic floor exercises (when going to the toilet, stop mid-flow and feel muscles work) Try and repeat muscle contraction when doing daily activities e.g lifting, walking
15: Holding below the knee of one leg, cross the second leg over the opposite knee and pull both legs towards chest. Hold 30 seconds, or as pain allows.
16: With arms lifted in the air to maintain a good pelvis position, lower trunk vertically down, kneeling on one knee if preferred and hold as pain allows, Hold postion for 30 seconds.
17: Stretch hamstrings and hold for 30 secs
18: PRICE: Apply a cold compress to the lumbar region for 10-15 mins. use for first 24-48 hours after pain starts. Try and stay as mobile as possible, move as pain allows, avoid prolonged stationary positions, movement is good
19: Use heat e.g. hot water bottle to lumbar area to help relax muscles and assist pain relief. Ensure heat is not applied directly to skin and area is checked regularly.
11: Soft tissue massage, as pain allows
4: Side flexion stretch away from pain, hold for 30 secs.
5: Keep knees together, roll from side to side, 5 times each side
9: While seated, rest hands on knees and slide forward as far as possible, repeat slowly
15: Holding below the knee of one leg, cross the second leg over the opposite knee and pull both legs towards chest. Hold 30 seconds, or as pain allows.
17: Stretch hamstrings and hold for 30 secs
19: Use heat e.g. hot water bottle to lumbar area to help relax muscles and assist pain relief. Ensure heat is not applied directly to skin and area is checked regularly.
3: Pain free pelvic tilts in sitting, by tilting pelvis forwards and backwards
5: Keep knees together, roll from side to side, 5 times each side
7: Pelvic floor exercises (when going to the toilet, stop mid-flow and feel muscles work) Try and repeat muscle contraction when doing daily activities e.g lifting, walking
9: While seated, rest hands on knees and slide forward as far as possible, repeat slowly
15: Piriformis stretch. Holding below the knee of one leg, cross the second leg over the opposite knee and pull both legs towards chest. Hold 30 seconds, or as pain allows
17: Stretch hamstrings and hold for 30 secs
12: Myofascial techniques to the area, roll soft tissue between fingers, until soft tissue becomes less tight.
3: Pain free pelvic tilts in sitting, by tilting pelvis forwards and backwards
4: Side flexion stretch away from pain, hold for 30 secs
5: Keep knees together, roll from side to side, 5 times each side
9: While seated, rest hands on knees and slide forward as far as possible, repeat slowly
15: Piriformis stretch. Holding below the knee of one leg, cross the second leg over the opposite knee and pull both legs towards chest. Hold 30 seconds, or as pain allows
17: Stretch hamstrings and hold for 30 secs
40: seek medical help in first instance..
18: PRICE: Rest from any painful movements and apply a cold compress to the lumbar region for 10-15 mins.
8: Crook lying. Lie on back with knees bent. Hold pelvic muscles and pull in stomach muscles. Hold 10 secs.
3: Pain free pelvic tilts in sitting, by tilting pelvis forwards and backwards
5: Knee rolls. Keep knees together, roll from side to side, 5 times each side.
6: Bridging. With feet close and knees bent, lift bottom. Repeat 10 times, rest and then repeat
15: Piriformis stretch. Holding below the knee of one leg, cross the second leg over the opposite knee and pull both legs towards chest. Hold 30 seconds, or as pain allows
16: Hip flexor stretch. With arms lifted in the air to maintain a good pelvis position, lower trunk vertically down, kneeling on one knee if preferred and hold as pain allows, Hold postion for 30 seconds