علاج الانزلاق الفقري عند فشل إدارة المسكنات الأولية في تحقيق تخفيف آلام أسفل الظهر

References

DOI: 10.25122/jml-2025-0039

• If symptoms persist beyond 1 to 2 weeks, physical therapy is typically introduced as the next step.
• According to the World Federation of Neurosurgical Societies Spine Committee recommendations, a structured physical therapy program for at least 3 weeks is beneficial for patients meeting the criteria for non-operative treatment.
• Flexion exercises, such as pelvic tilts and seated abdominal contractions, primarily target the anterior core muscles, helping reduce lumbar lordosis and stress on the affected vertebrae.
• Stabilization exercises focus on improving core strength, spinal alignment, and neuromuscular control while reducing pain and preventing further slippage.
• These exercises target deep stabilizing muscles such as the transverse abdominis, multifidus, pelvic floor, and gluteal muscles, which provide support to the lumbar spine.
• Therefore, a walking-based training program should be initiated, starting with slow walking and gradually increasing speed.
• The primary objectives of physical therapy are to reduce pain, improve ROM, and enhance strength and spinal stability.