PROCEDURE
CONTRAINDICATION
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Cold client
Aversion to cold
Sensitivity to cold (common
in patient with fibromyalgia)
Headache upon contact with
cold
Impaired sensation at the
treated area
Cold damage (blotchiness,
redness/welt
underneath
cold application)
Numbness caused by spinal
cord injury, diabetic neuropathy, other medical conditions or use of some medications
Poor circulation
Raynaud’s syndrome
Previously frostbitten area
Peripheral vascular disease
Skin that has been applied
analgesic cream
Wounds
Malignancy
Heart disease
Implanted devices
Marked hypertension
1. Patient are pronate lying on bed with
clothes off.
2. Gently massage the lower back with
ice in a cup using circular motion. Do not
let the ice stays on skin at one place only,
it should always moving.
3. Frequently ask the patient the sensation at treatment area.
STATION 1(A) - K4
ERECTOR
SPINAE
STRAIN
(Low back pain)
4. Use CBAN (cold, burning, aching &
numb) to estimate when to stop the treatment.
By: Najihah bt Maharam
(D20171077429)
5. Treatment should be stopped when the
patient feels numb or maximum of 5
minutes.
Lecturer: Assoc. Prof. Dr.
Lee Ai Choo
6. Massage should avoid the spinal cord.
7. Remove dripping water with towel or
tissue paper.
PRESCRIPTION
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5 minutes or until numb
5 times/day
For 3 days or until inflammation reduced
INJURY LOCATION
MECHANISM
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Excessive tensile force to the lower
back
Repetitive hyperextension, jumping &
twisting
Lifting heavy objects with faulty posture
Excessive forceful stretching of the
lower back
HEALING PHASE
Inflammation phase
OBJECTIVE
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SIGNS & SYMPTOMS
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Lower back
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Erector
muscle:
spinae
- spinalis
- longissimus
- iliocostalis
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Sore or tenderness at lower back
Pain that occurs suddenly
Muscle spasms
Pain increases when standing, walking/twisting
Stiffness at the back region
Pain radiating to legs, buttock/thigh
Weakness in muscles and tendons
To reduce pain at the lower
back
To reduce muscle spasms
around the lumbar region
INTERVENTION
CRYOTHERAPY
Modalities: Ice Massage