One Day Following Onset of Pain and Muscle Guarding in the Low

question 1

Multiple Choice

One day following onset of pain and muscle guarding in the low back region, your patient stands with lumbar flexion and a sciatic scoliosis.Repeated flexion tests increase pain into the buttock.Repeated extension done after side gliding increases the pain in the midback and decreases the pain in the buttock.You begin treatment by:

• A)Positioning the patient supine and having him bring both knees to his chest.
• B)Placing the patient in intermittent traction at less than half his body weight for 20 minutes.
• C)Having the patient lie prone and attempting passive extension with press-ups or prone propping maneuvers after side gliding the thorax.
• D)Placing the patient on complete bed rest for at least 4 days, applying modalities and massage during that time.

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