Cold therapy can be used to decrease spasms and inflammation.
Heat therapy can be given to increase blood circulation and drain out toxins.
Electrical muscle stimulations are recommended to strengthen the weak muscles.
The patient should continue to wear the braces and should resist picking-up objects from the floor by bending at the waist, carrying heavy objects must be avoided.
Walking increase blood flow throughout the body and helps to build cardiovascular endurance. Because of the increased blood flow, more nutrients and oxygen are brought to the tissues to help the patient heal. Climbing stairs should be climbed once daily. Walking helps regain mobility quicker and also reduces the chances of scar tissue formation.
Range of motion Exercises:
Simple range of motion exercises is done to maintain mobility and functionality.
Strengthening exercises aim to provide light strengthening to the spine and improve the patient's tolerance with 30 minutes of cardio each day. These exercises strengthen the muscles around the disc and also increase flexibility. The strength is achieved with graduated, repetitive exercises targeting the lower back muscles. Prone and supine leg raises are strengthening exercises due the lower back and the abdominal muscles exercises like prone leg raise, supine leg raise, for strengthening the spine flexors, alternate knees to the chest exercises can be done, for strengthening the core muscles involves flattening the lower back to touch the ground while lying on the back with the knees bent should be done under the supervision of the physiotherapist.
Stretching exercises help in releasing muscular spasms and soft tissue restrictions. Exercises include walking, light stretching, isometrics with multifidi and glute sets, transverse abdominal bracing, etc, these exercises increase the flexibility of the targeted muscles.
Maintenance of the Posture:
The physiotherapist helps to improve posture and gait. Proper posture is necessary to prevent excess strain on the ligaments and also to prevent muscle deconditioning. Initially, sitting posture may be difficult, the sitting period can be 20 minutes initially, which can be increased gradually.
Cardio exercises involve walking progression and stationary bike workout whereas light strengthening exercises include transverse abdominal, glute activation, and upper and lower extremity strengthening. Hydrotherapy is also imparted for strengthening the upper and lower extremities.