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Q. What can I do if my pain comes back or gets worse?

A. A Once you've had an episode of back pain, the chance of having pain again is remarkably high, about 90%. The goal of your therapy program is to help you learn and use ways to prevent future pain and injury as well as to give you ideas of how to calm any future pain. If your back pain strikes again, avoid activities, positions, or movements that tend to make things worse. Give your sore back a chance to rest. You may get some relief with short periods of rest using the positions of comfort. For the first two to three days, you may get help by applying a cold pack. Once the acute symptoms are controlled (two to three days), you may get good relief using a heating pad. Remember to turn off the pad before going to sleep. Check your skin regularly to make sure you are not getting too much heat.

Some exercises are designed to help take pain away. After you have completed your therapy treatments, your therapist can go over the exercises that will give you the best relief in the event that you get sore again. Remember to only do the exercises in the way your therapist has instructed. Overdoing them could make your pain worse. Remember to use healthy posture, body movement, and safe lifting techniques with all your activities. If you are trying to take care of your back but you're not getting relief, you may need to revisit your doctor or therapist for additional help.

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