At their first physical therapy appointment, most patients anticipate receiving hot packs, ultrasonography, and instructions on how to perform a series of exercises. Even though these techniques are appropriate in many circumstances, the majority of therapists would agree that exercise is important to aid in correcting muscular imbalances. But when it comes to function restoration, many therapists now choose a different strategy. These therapists focus on the root causes of muscular dysfunction and view back exercise as an adjunct to manual therapy rather than as a stand-alone treatment option. For instance, they can attempt to restore proper sacroiliac or lumbar joint function to treat piriformis syndrome rather than directly exercising the piriformis muscle.
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