Manual therapy | Therapy of a lumboischialgia

Manual therapy

Manual therapy in the context of lumboischialgia must be advised in advance by a medical examination. If the clinical picture is based on an overload of the sciatic nerve, manual therapy can loosen the affected muscle groups and significantly support the course of therapy. This should go hand in hand with prescribed physiotherapy for faster mobilization and muscle building.

False postures caused by gentle movements must be prevented in principle. Whether manual therapy helps against the symptoms of lumboischialgia must be determined individually by the patient. Fortunately, it is now possible to choose from a wide range of supportive therapy methods.

In any case, however, it is important to consult with the treating physician in order to check whether there is a contraindication against a form of therapy. For example, in the case of an acute herniated disc, manual therapy in the directly affected area is not recommended, especially if neurological symptoms occur. The area itself should be manipulated as little as possible. However, if the rest of the spine is affected by blockages, manual therapy in precisely these areas is not a problem.

How long does the therapy of lumboischialgia last?

Like the occurrence of lumboischialgia, the duration of the therapy is strongly dependent on the cause of the nerve irritation. In some cases the condition improves after a few days. In the case of a severe herniated disc, however, the therapy can be extended over several months.

Basically, the aim is to mobilize the patient early and reintegrate him/her into everyday life. Bed rest in the form of stepped positioning may only be carried out for as short a time as necessary. Afterwards, the patient should try to move slowly while taking medication to relieve pain. Prolonged rest leads to increased immobility and an increase in the resting posture.

Duration of sick leave

Like the duration of therapy, the duration of sick leave varies according to the cause of the disease. There is no fixed time limit that should be observed until work is resumed after lumboischialgia. It must also be considered whether the activity at work could have caused nerve irritation and hinder the healing process.

If the lumboischialgia is caused by overstrain and nerve irritation, the patient may be able to resume work after a few days. However, a slipped disc usually requires a longer period of sick leave. Other topics that might interest you: All topics on ophthalmology under: Orthopedics A-Z

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