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The McKenzie protocol also now includes flexion protocols and stresses the importance of differentiating whether flexion or extension improves patient's symptoms. 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.
The overall quality of the evidence was low and the authors conclude that massage therapy is generally not an effective treatment for low back pain. [118] Massage therapy is recommended for selected people with subacute and chronic low back pain, but it should be paired with another form of treatment like aerobic or strength exercises.
There is only weak evidence for the effectiveness of the method's use for treating lower back pain. [8] A 2019 systematic review found that there was evidence that it could reduce chronic lower back pain in the short term, and enhance function in the longer term, but that most studies of the treatment had methodological flaws, such as small sample sizes and a lack of blinding.
In a study published in Arthritis & Rheumatology, researchers found the number one predictor of widespread pain, especially among adults over 50, is non-restorative sleep, or disruptive sleep ...
“Stretching before and after a workout will help you release tight muscles that might be holding you back from mobilizing,” says Hannah Corbin, a Peloton instructor who teaches foam rolling ...
A 2010 Cochrane review found no difference between the effects of combined chiropractic treatments and other treatments for chronic or mixed duration low back pain. [109] A 2010 systematic review found that most studies suggest SMT achieves equivalent or superior improvement in pain and function when compared with other commonly used ...