lower back pain and pt

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Veteran Member

Date Joined Apr 2004
Total Posts : 1205
   Posted 4/27/2009 5:33 AM (GMT -6)   
I went on thursday for my first pt appt. It didn't seem like i really did all that much but when i woke up on friday i was so sore i couldn't hardley move and had to call in that day couldn't work. Took me all weekend to get over it so it's monday morning now and i'm up and going into work. I have my next appt. tomorrow afternoon and i sure hope it doesen't leave me as sore as the first one.So to all of you guys that have already been down this road any advice should i try something to ease the pain afterwards any advice would be appreciated. thanks in advance

Tony McGuire
Regular Member

Date Joined Feb 2009
Total Posts : 483
   Posted 4/27/2009 1:16 PM (GMT -6)   
Take a hot shower after pt; or soak in a bath if you have that luxury.

But this is standard for after exerting yourself in ways you haven't for a while.

Yes, you will likely get sore. But less and less until it goes away.

(Sorry how late. Got called for ONE last signature on our house refi. 4.5% for the WHOLE existing loan, so I didn't want to mess that one up.)
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Veteran Member

Date Joined Nov 2007
Total Posts : 6795
   Posted 4/27/2009 11:50 PM (GMT -6)   
Hi, AuntKay,
just a quick thought. Most times the first visit is an evaluation. In my experience things are pushed, pulled, twisted and whatever for them to evaluate what hurts. So that may have been part of why you were so sore. That being said, some soreness goes with PT, but I would talk with the PT about what you felt afterward. Some PT's tend to push too hard, too fast. Over time I have learned what is appropriate or expected pain/soreness from things like that, and what is too much, But I've had lots of PT!


Veteran Member

Date Joined Aug 2006
Total Posts : 9664
   Posted 4/28/2009 12:18 AM (GMT -6)   
Kay, try taking a soak in a very warm to hot bath to help the muscles relax, the first day of pt can be hard
don't let them push you too hard though, I do pt two to three times a week and I use an exercise bike (recumbent bike)
at home, academy has some under 100.00 and with a pillow, it helps some...
Hope the pt helps and keep us posted when you can
lots of them hugz........
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's and Ocular Migraines


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Date Joined Jun 2005
Total Posts : 610
   Posted 4/28/2009 12:38 AM (GMT -6)   
If they do any massages or things like rubbing muscles make sure you drink lots and lots of water cause massages releases toxins out of your muscles and it can cause lots of pain, especailly the day after. They told me to drink lots and lots of water to flush out those toxins, and as the toxins get flushed out of your body by the water, the pain goes down. I was told on my first PT appointment to do thast to reduce day after pain.

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Veteran Member

Date Joined Apr 2004
Total Posts : 1205
   Posted 4/28/2009 5:25 AM (GMT -6)   
Thanks for the tips, I have my second appt. today so i'll let him know how much pain i was in after the first visit.I did take a long soak last night in some sea salts and do feel a little better this morning. The first visit was exercise only no massages and most of it was to work on my core muscles . I never knew a pelvic tilt could hurt so bad so today i'm going to be up on my aleve and will soak soon as i get home and maybe he'll let up on me just a bit. I really do apperciate all the wonderful advice you guys had to offer thanks a bunch!!!Wish me luck and hope you all have a lpd

Veteran Member

Date Joined Nov 2007
Total Posts : 6795
   Posted 4/28/2009 12:29 PM (GMT -6)   
Most PT's try to relax your muscles before working them. Are they doing any heat, ultrasound, stimulator, or similar techniques before you exercise? And you're right about timing medication in advance of PT sessions. The only thing is to be careful you're not masking any serious pain, but it does help to take pain meds a short while before PT so you can get the most from it. Try to get in touch with your own body; eventually you can learn the difference between soreness or "good pain" (I know, that sounds weird especially on this forum!), and pain that means you should stop what you're doing - pain that means you're going too far. Soreness in muslces is normal after working them, and you did the right thing with the warm bath and such. But if sharper pains develop when doing a movement, I'd stop and tell your PT or doctor.

Good luck!


Veteran Member

Date Joined Mar 2008
Total Posts : 3089
   Posted 4/28/2009 9:39 PM (GMT -6)   
Hi Kay,

Do they have aqua therapy at your PT? If so, this might be a more gentle alternative to get you going, then once you get stronger, you could move back to land PT. I did pool therapy after one of my shoulder surgeries & it was great! The exercises are gentle, yet the resistance of the water works the targeted areas. Maybe this would make you a little less sore.


Veteran Member

Date Joined Apr 2004
Total Posts : 1205
   Posted 4/29/2009 5:32 AM (GMT -6)   
No aqua therapy that i'm aware of. I did have a different PT yesterday and i told him how sore i was after my first visit. He seemed to ease up on me some the exercises weren't bad and i woke up with no more pain than i usually do. When i completed my exercise he hooked me up to what i think was a tens unit and an ice pack to help with any soreness. So i'm good to go this morning and will make my best effort to do my exercises daily. A co-worker is going to let me use his tens unit for a bit so i'll be able to use it at home on days when i'm sore and if it helps i'm going to ask my dr. if he'll rx a unit for me. I hope you all have a lpd or better yet a pfd.

Forum Moderator

Date Joined Jan 2007
Total Posts : 3571
   Posted 4/29/2009 8:35 AM (GMT -6)   

Oh kay!

I hope all this helps!  The tub soak always works for me.........although I have to use luke warm water and not too deep.  I am very sensitive to the heat........can't regulate my body temp real well.  I used to love a hot hot bath!!  Sigh....... :-)

I have to assume they are building muscles to support your body better?  I had major PT after a bad flare a while back.  I did lots and lots of PT.  I have still kept up with it and it has helped me so much!!  I do hope you can stand the pain to see if it can help you too.  Good luck! 

Gretchen       co-moderator MS board       diagnosed with MS July 2006
I have no lesions on my soul and so I will live with no limits.

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