This is something that I've encountered quite a bit and it really hacks me off.
It seems like none of the physicians nor the PTs will actually provide definititve statements about back pain treatment and I really wonder why. I am not being hyperbolic here, I can't seem to pin down anyone when it comes to back pain or rehabilitation.
Me: "So, should I ice or heat the muscles?"
PT: "Well some do better with heat, others by icing."
Yeah, thanks for the clarification.
Me: "So how many Ibuprofins can I take?"
Doctor: "Well that depends on body weight, but 2400 mg a day should be okay - just don't do it for months."
Me: "But I've been hurting for 10 weeks now."
Doc: "Oh, well you should be fine anyway."
Hmm, any other conflicting information you'd like to offer?
From my PT "We can't advise on drugs."
"Any? Not even aspirin?"
"Nope, talk to your physician about that."
"Okay, thanks for nothing."
"Do these stretches and strenghtening exercises daily."
"Well, what about when they're sore?"
"In that situation don't do the stretches or exercises."
So basically I can't do the exercises until I stop hurting, at which point I don't need to do the exercises.
I try not to be argumentative or a jerk - but conflicting or confusing statements by physicians make problems like this worse. PT's that refuse to make definitive statements on ANYTHING are useless. If a PT can't tell me to either ice or heat my injured muscles then I question their abilities. Am I the only one who sees this? I go to a cardiologist for my high blood pressure - he can tell me 6 ways to heaven on what to do or not to do on blood pressure control. But I can't find a doctor or PT who can give me solid advice on how to repair injured back muscles. All I get is this ambiguous "work the core muscles" mantra.
And yet none of the exercises I've been given do that - they all work my lats, glutes, rhomboids, and hamstrings.