Significance of physical therapy in low back pain!

It is always a common problem from eraly middle age - low back pain. This low back pain usually is commenced at early morning. It is presuamably assumed that early morning back pain is related with temperature and/or hormonal balance. Physicians usually suggest normal pelvic X-ray, however, MRI scanning is useful in evaluating any disk prolapse. Spinal stenosis should be important cause of this low back pain - persuaded by degeneration or trauma. In this case, I always prefer proper clinical history, that would be important for appropriate investigation and management. Usually, symptomatic treatment with vitamin supplements are suggested (vitamin D or Vitamin B1). Rehabilitation is an important non-therapeutic management in low back pain - aerobic training (ergometer bicycle pedal) in flexed position (40 to 50 min for 4 to 5 days) are suggested by considering patients' condition.