Lumbar Spondylosis Physical Therapy Treatment

Lumbar spondylosis, also known as spinal osteoarthritis, affects the lower back through a narrowing of the spinal canal. The affliction is primarily seen in people over 40 years of age, and women are affected more than men. Common complaints are pain and morning stiffness in the lower back.

As the lumbar portion of the spine carries the majority of a person's weight, pain may be associated with lifting and other physical activity or sitting for long periods of time. Physical therapy can help ease pain and increase mobility.

Physical therapy options

• In many cases of lumbar spondylosis, rest coupled with physical therapy is ordered. And in 75 percent of the cases, physical therapy and rest take care of the problem.

  Physical therapy can ease neck pain and back stiffness. Exercises such as crunches and abdominal workouts can strengthen and rehabilitate muscles and joints near the spine and stomach, helping ease pressure and pain on the spine.

  Physical therapists also use electronic stimulation and heat to reduce pain and muscle spasms linked to spondylosis. Exercises involving pulleys and weights are often used to strengthen a patient's neck and back muscles.

  A physical therapist can also provide strategies to limit the risk of future back problems and whether any restrictions in work or recreational activities are required.

  Possible physical therapy exercises include yoga-like exercises and other exercises to increase flexibility and strength. Stretching exercises are also common forms of treatment.

Isometric exercises

• Isometric exercises -- where a muscle is tensed up and held stationary when retaining tension -- are a tool physical therapists use. Large rubber bands are often used to provide resistance while increasing flexibility.

  Swimming and hydrotherapy are other possible physical therapy remedies.

  A physical therapist may have a patient wear a neck collar or neck brace to keep the afflicted joint in place and limit muscle spasms. A lower back support belt also may be suggested to keep weight off the patient's back

Therapy exercises

• Physical therapy exercises could include extensions, where an affected individual lies on her stomach on the floor and then raises her upper body as high as possible to strengthen back muscles.

  Affected individuals can also stand close to a wall, with their feet about 12 inches from the wall. Placing their hands on the wall, the individual stress backward, working arm and back muscles.