It is a matter of trial and error which is helped by an understanding that complete pain relief is unlikely. It generally affects the lower back and may radiate to hips and thighs. Factors such as poor posture in walking or sitting can put added strain on already weakened muscles of the lower back. Reduced mobility can accelerate degenerative disc disease. These factors may also contribute to localised joint pain.
Therapy is important to provide stretching and strengthening exercises as well as correct posture.
An occupational therapist can assess proper seating for the work environment and wheelchair. Correct posture is very important in relieving mechanical stresses in the spine and surrounding muscles. Spasms that cause drawing or pulling up of limbs are more likely to cause discomfort. These spasms often produce sensations of intense cramping or pulling. Spasms are generally associated with increased disability and immobility which also may lead to problems with constipation, bladder infections and pressure sores.