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Testing, Graded Exposure, And Reassurance For Low Back Pain

February 25, 2019/in Massage, Massage Clinic, Massage Therapist, Massage Therapy, Pain, Therapeutic Exercise /by Jamie Johnston

 

Over the past couple of weeks, we have been looking at and discussing the clinical guidelines for treating low back pain.

We have covered how important reassuring our patients their tissues are safe is a crucial component in their recovery from pain as well as building our therapeutic relationship with them.

We also discussed how important using graded exposure as part of that reassurance is, along with its importance in getting them moving again. So, this week we’ll cover how you can do some simple and effective graded exposure right in your massage therapy treatment room.

But first, we’ll have a look at the orthopedic test that was commonly recommended throughout those clinical guidelines and how to do it. There is a bit of controversy between papers as to how effective this test is, but it is the one that was most commonly recommended, so we felt it important to review.

Here is how to do an SLR (straight leg raise).

Even though the more common use of an SLR for low back pain is to look for a disc issue if you get a positive it is still important to reassure your patient they are okay. Use terms like “it just shows us the area is sensitized right now, so we just need to calm it down”. Try not to alarm them or instill any fear around there being a damaged disc or tissue.

Quite often when patients with low back pain come in, there will be some movements they are fearful of doing. Commonly forward flexion is the one I’ve seen in practice that most people have an issue with, so we’ll look at how we can do some graded exposure to help with that.

If you have a hydraulic table here are some simple things you can do to not only reassure the patient movement is okay, but also to help build up their trust in you:

If you don’t have a hydraulic table, here’s how you can do the same thing with some of the furniture most of us have in our treatment rooms.

The biggest takeaways:

  • Provide reassurance to the patient that they are not “damaged”.
  • Make them feel safe with the movements.
  • Gradually expose them to an increased range of movement.
  • Encourage, encourage, encourage your patients!

Jamie Johnston

As the creator of the site, I hope you like what you’re reading. I’m a Registered Massage Therapist in Victoria BC, former Massage college clinical supervisor, First Responder instructor, hockey fan and Firefighter. Come hang out on the facebook page, where we can share some ideas about how to improve the perception of the Massage Therapy industry.

  • Author
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Jamie Johnston
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Jamie Johnston
Founder at The MTDC
As the creator of the site, I hope you like what you're reading. I'm a Registered Massage Therapist in Victoria BC, former Massage college clinical supervisor, First Responder instructor, hockey fan and Firefighter. Come hang out on the facebook page, where we can share some ideas about how to improve the perception of the Massage Therapy industry.
Jamie Johnston
Follow me
Latest posts by Jamie Johnston (see all)
  • Beliefs, Communication, And How This Impacts Our Patients - January 12, 2021
  • How Beliefs And Communication Can Influence Pain - December 14, 2020
  • 3 Exercises To Help Patients With Back Pain - November 24, 2020
Tags: Massage, Massage Clinic, Massage Therapist, Massage Therapy, Movement Therapy, Pain Science, Therapeutic Exercise
https://themtdc.com/wp-content/uploads/Untitled-design-4-11.png 400 600 Jamie Johnston https://themtdc.com/wp-content/uploads/logo.svg Jamie Johnston2019-02-25 16:25:402020-08-20 12:21:09Testing, Graded Exposure, And Reassurance For Low Back Pain
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Jamie Johnston

As the creator of the site, I hope you like what you’re reading. I’m a Registered Massage Therapist in Victoria BC, former Massage college clinical supervisor, First Responder instructor, hockey fan and Firefighter. Come hang out on the facebook page, where we can share some ideas about how to improve the perception of the Massage Therapy industry.

  • Author
  • Recent Posts
Jamie Johnston
Follow me
Jamie Johnston
Founder at The MTDC
As the creator of the site, I hope you like what you're reading. I'm a Registered Massage Therapist in Victoria BC, former Massage college clinical supervisor, First Responder instructor, hockey fan and Firefighter. Come hang out on the facebook page, where we can share some ideas about how to improve the perception of the Massage Therapy industry.
Jamie Johnston
Follow me
Latest posts by Jamie Johnston (see all)
  • Beliefs, Communication, And How This Impacts Our Patients - January 12, 2021
  • How Beliefs And Communication Can Influence Pain - December 14, 2020
  • 3 Exercises To Help Patients With Back Pain - November 24, 2020
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Clinical Pain Science For The Low Back, Pelvis And Hips

This course will be presented over a zoom meeting.  Details will be sent after you register.

Clinical Pain Science For The Low Back, Pelvis And Hips Remote

  • Price: $ 500.00 CAD