Treatment

Treatment Protocols

The Low Back Pain Revolution Program provides a clear treatment classification system using documented evidence drawn from case studies and clinical trials. If you choose to visit a Therapeutic Associates’ location for your low back pain, your physical therapist will evaluate your condition using proven Clinical Prediction Rules (CPR) to dictate which Treatment Protocol will produce the best clinical outcomes based upon your presenting symptoms.

Click on the below navigation menu to learn more about each Treatment Protocol:

Manipulation Protocol Stabilization Protocol Repeated Movement Protocol

Manipulation Protocol

Spinal ManipulationManipulation of the spine is a safe therapeutic treatment of the spine to relieve low back pain. An advanced form of mobilization, manipulation is a skilled technique that is performed to help restore motion and improve function.

Better Faster

Spinal manipulation performed within 16 days of symptom onset in the presence of spinal stiffness, absence of symptoms below the knee, and serious hip range of motion deficits is 95% effective within two treatments. 95% success rate of pain relief after only 2 VISITS!

Better Outcomes

Research behind the Manipulation Protocol shows patients presenting with greater than or equal to 4 of the Clinical Prediction Rule factors are 24 times more likely to have a successful outcome with spinal manipulation. Stated another way, research shows that there is a 95 percent likelihood of successful outcome with manipulation.

In cases where the patient falls within the Manipulation Protocol, research has also shown that patients treated with spinal manipulation have better outcomes than using exercise or modifying home activities alone.

For more information about the treatment of low back pain with the Manipulation Protocol, please contact a location nearest you >

Manipulation in Washington State
Currently, Washington is one of two states that prohibit physical therapists from performing spinal manipulation by statute, the other being Arkansas. An advanced form of mobilization, manipulation is a skilled technique that is performed at the end of joint range using a thrusting technique taught in entry level PT programs. WA state does allow spinal mobilization which has been proven to be effective in low back pain.

**If you are currently experiencing Low Back Pain**

STAY ACTIVE

Do as much of your normal routine as possible (bed rest for longer than a day can actually slow down your recovery)

SELF-ASSESSMENT

Our Low Back Pain Self-Assessment tool is designed to quickly help identify what Treatment Protocol your current symptoms may be appropriate for.

DON’T WAIT

Research has shown that Physical Therapy treatment within 14 days of LBP onset can significantly improve your recovery.

Self-Assessment Tool Participating Locations

Stabilization Protocol

Stabilization ExerciseNearly all individuals with low back pain develop deficits in lumbar stabilizer control that remains after the pain resolves. However, specific exercises targeting the deep lumbar stabilizer musculature can improve these strength deficits.

Stabilization training is designed to strengthen muscles that support the spine. Through a regimen of exercises prescribed by a physical therapist, the patient is trained to find and maintain his/her “neutral spine” position. The back muscles are then exercised to teach the spine how to stay in this position. Stabilization training programs are individually designed for each patient based on the patient’s condition.

Individuals younger than 40 years of age, with excessive generalized flexibility and improvement in symptoms with activation of the larger core muscles are 67% more likely to have success with stabilization training.

Individuals that do not respect their LBP by modifying activity levels in response to pain have a decreased likelihood of succeeding with stabilization training.

For more information about the treatment of low back pain with the Stabilization Protocol, please contact a location nearest you >

**If you are currently experiencing Low Back Pain**

STAY ACTIVE

Do as much of your normal routine as possible (bed rest for longer than a day can actually slow down your recovery)

SELF-ASSESSMENT

Our Low Back Pain Self-Assessment tool is designed to quickly help identify what Treatment Protocol your current symptoms may be appropriate for.

DON’T WAIT

Research has shown that Physical Therapy treatment within 14 days of LBP onset can significantly improve your recovery.

Self-Assessment Tool Participating Locations

Repeated Movement Protocol

Repeated MovementSymptoms of low back pain can either radiate down one or both legs or centralize towards the midline of the body based on movement in specific directions. Repeated motions in a specific direction may initially cause symptoms but as the repetitions progress the symptoms lessen and centralize towards the midline of the body.

Patients suffering LBP with radiating symptoms into the leg are most likely to respond to repeated movement exercises.

4 phases to recover with this form of LBP:

  1. Centralize symptoms with repeated movement exercises.
  2. Avoid daily postures that tend to worsen the symptoms.
  3. Gradually move in the opposite direction of the repeated movement exercises as symptoms improve.
  4. Remember, future episodes of LBP are likely but you can use this recipe to self-manage symptoms in many cases.

For more information about the treatment of low back pain with the Repeated Movement Protocol, please contact a location nearest you >

**If you are currently experiencing Low Back Pain**

STAY ACTIVE

Do as much of your normal routine as possible (bed rest for longer than a day can actually slow down your recovery)

SELF-ASSESSMENT

Our Low Back Pain Self-Assessment tool is designed to quickly help identify what Treatment Protocol your current symptoms may be appropriate for.

DON’T WAIT

Research has shown that Physical Therapy treatment within 14 days of LBP onset can significantly improve your recovery.

Self-Assessment Tool Participating Locations

Note: Because all of the participants in the studies from which these treatment protocols were created were subject to select exclusion criteria, not all patients are appropriate for this form of treatment and should be further assessed by a trained professional for applicability of these guidelines.

The information on this Web site is provided as general health guidelines and may not be applicable to your particular health condition. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Remember: There is no adequate substitution for a personal consultation with your physical therapist. Neither Therapeutic Associates Inc., or any of their affiliates, nor any contributors shall have any liability for the content or any errors or omissions in the information provided by this Web site.

The information, content and artwork provided by this Web site is intended for non-commercial use by the reader. The reader is permitted to make one copy of the information displayed for his/her own non-commercial use. The making of additional copies is prohibited.

Treatment Protocols

 


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