fb09f1c2_ack_Pain__Derangement_Syndrome_t_progression__Derangement_one_Treatment
[Day] Further treatments [Treatment] 
I prefer to see patients with derangement every day until the reduction is stable and patients are in control. This may take up to five days. Then the treatment might be reduced to alternate days. Once reduction of derangement proves stable and the patient has been pain free for at least three days, flexion exercises may be started to recover function. All flexion exercises must be followed by extension in lying; if this is not possible extension in standing must be performed. When no further flexion can be gained with flexion in lying, the patient must start flexion in standing. When function is recovered flexion in standing may cease. The patient is advised to continue with the exercises for another six weeks to prevent recurrence: he will do extension in lying in the morning; flexion in lying followed by extension in lying in the evening; extension in standing whenever necessary during the day; and possibly the slouch--over correct exercise, whenever becoming negligent regarding sitting. Before discharge, prophylaxis and self-treatment must be discussed in detail. We must emphasize that self-treatment is infinitely preferable to dependence on therapy.
Mechanical Low Back Pain: Derangement Syndrome
Treatment