As there is no one treatment for all, Physiotherapy of back problems depends on the presentation of the patient and on the clinical evaluation. Physiotherapy intervention includes:
- Soft tissue mobilization techniques which targets the muscles and the fascia.
- Spinal mobilization techniques ( grades I, II, III,IV and V), the first two grades aim at relieving pain and the III, IV and V grades aim at increasing the range of mobility by breaking the stiffness between the spinal segments.
- Stretching exercises of the tight muscles and tissues to restore elasticity and flexibility.
- Core optimization exercises specially for those who have instability at certain levels (i.e. spondylolysthesis and retrolysthesis).
- Neurodynamic techniques ( in the case of nerve entrapment) these techniques aim to relieve the compression on the nerve, improve the gliding capacity of the nerve and thus reducing pain and other nerve compression related symptoms (numbness and tingling).
- Use of modalities ( if needed) such as the use of various electrical currents and Ultrasound.
- Postural instructions and advice on how to maintain the improvement gained from therapy.