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As a result, McKenzie principles are used by many physical therapists in the treatment of low back pain, whereas Williams Exercises are no longer taught as a physical therapy protocol. This is supported by evidence which demonstrates improved functional outcomes for the McKenzie approach in comparison to the Williams exercises.
Low back pain or lumbago is a common disorder involving the muscles, nerves, and bones of the back, in between the lower edge of the ribs and the lower fold of the buttocks. Pain can vary from a dull constant ache to a sudden sharp feeling. [ 4 ]
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging.
Pain may also be referred to the calf, foot and toes. [15] Sometimes, pain is perceived in the region of the lower abdomen, posterior (back) and inner thigh, or lower back. [15] Hyperesthesia may be present. [5] There may be a sensation of a foreign body in the rectum or vagina (described as "sitting on a golf ball" or a "hot poker in the rectum").
The lumbar region is sometimes referred to as the lower spine, or as an area of the back in its proximity.. In human anatomy the five lumbar vertebrae (vertebrae in the lumbar region of the back) are the largest and strongest in the movable part of the spinal column, and can be distinguished by the absence of a foramen in the transverse process, and by the absence of facets on the sides of the ...