It is simple to obtain heat or ice, and when combined, they might lessen inflammation and muscular spasms. Some patients feel that applying heat packs or receiving an ice massage relieves their pain better than applying cold therapy. One may also switch between the two. They are usually applied once every two hours for 10 to 20 minutes, and they work best in the early stages (first few days) of a pain episode. To rehabilitate the spine and joints, active physical therapies are also required in addition to passive therapies. activities for all the key muscle groups should be included in a patient's exercise regimen, in addition to core strengthening activities. Patients need to do these exercises on a regular basis at home after learning them from their therapists. This treatment uses sound waves to penetrate the delicate tissues of the skin and provide deep warmth. In addition to potentially accelerating tissue recovery, ultrasound is particularly helpful in treating acute pain episodes.

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