Some patients may be confined to bed for a few days as a consequence of their pain, but this should not be considered a treatment. Advice on Staying Active Advise patients to stay as active as possible and to continue normal daily activities. Advise patients to increase their physical activities progressively over a few days or weeks. If a patient is working, then advice to stay at work or return to work as soon as possible is probably beneficial. Manipulation Consider manipulative treatment within the first 6 weeks for patients who need additional help with pain relief or who are failing to return to normal activities.
Psychosocial factors are important at a much earlier stage than previously believed.
Psychosocial factors influence a patient's response to treatment and rehabilitation. All Rights Reserved, Dynamic Chiropractic, 2001.