ETIOLOGY:
A slip and
fall, strike, or jolt typically creates spinal problems with
unique characteristics. Falls to the buttocks cause
intra-articular "jamming". Being struck by a moving object can
also "jam" joints, as well as producing contusion of surrounding
soft tissues.
These painful conditions are associated with
varying degrees of soft tissue trauma and may result in formation
of adhesions. Early intervention is desirable to prevent
chronic scar formation and development of myofascitis. Rapid
return to light and modified activities is thought to yield best
results.
APPROPRIATE CARE:
Early passive assisted movements, early use of ancillary
procedures to reduce pain and inflammation, spinal adjusting,
gentle myofascial soft tissue work, resisted isometric and
stretching rehabilitative exercise and home cryotherapy (cold
packs).
EXPECTED FREQUENCY AND DURATION
OF CARE:
Based upon degree of trauma 3-5 sessions
per week initially, decreasing in frequency thereafter. Long
term followup is essential since many symptoms may not begin
until 6-8 weeks post trauma. Followup should be expected FOR 3-6
months, but may be longer if treatment is delayed. Modified work
restrictions likely for 6-8 weeks.
TOTAL: 24-30 SESSIONS OVER 3-6
MONTHS.
