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Most patients anticipate receiving hot packs, ultrasound, and directions on how to carry out a set of exercises when they go in for their initial physical therapy appointment. Most therapists would concur that exercise is necessary to help repair muscle imbalances, even though these methods are justified in many situations. But many therapists now take a different tack when it comes to function restoration. These therapists are concerned with the causes of a muscle's dysfunction and see back exercise as a supplement to manual therapy rather than the primary means of healing. For instance, instead of exercising the piriformis muscle directly to treat piriformis syndrome, they can try to restore correct sacroiliac or lumbar joint function.
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