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Joint Mobilization for Low Back Pain #backpain #physicaltherapy
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Here is a low back facet joint mobilization technique that often helps with low back pain. Posterior to anterior or PA spinal mobilizations are one of my favorite techniques for treating patients with unilateral or one-sided back pain.
When performing this technique, I start at the bottom of the lumbar spine (L5-S1) and work up one segment at a time until I reach the bottom of the thoracic spine (T12).
This is done first as an assessment to determine if the patient’s symptoms can be reproduced with the mobilization pressure/movement. In many cases, familiar pain is reproduced at one or two spinal levels and then those levels are mobilized further.
When mobilizing (checkout the Thumb Saver tool to protect your thumbs) a painful level, small oscillations are delivered to the painful area at an intensity that is perceived to be therapeutic by the patient. I will usually perform the mobilization for 1-2 minutes and perform 3-5 sets of the technique.
#RehabScience
When performing this technique, I start at the bottom of the lumbar spine (L5-S1) and work up one segment at a time until I reach the bottom of the thoracic spine (T12).
This is done first as an assessment to determine if the patient’s symptoms can be reproduced with the mobilization pressure/movement. In many cases, familiar pain is reproduced at one or two spinal levels and then those levels are mobilized further.
When mobilizing (checkout the Thumb Saver tool to protect your thumbs) a painful level, small oscillations are delivered to the painful area at an intensity that is perceived to be therapeutic by the patient. I will usually perform the mobilization for 1-2 minutes and perform 3-5 sets of the technique.
#RehabScience
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