Massage and
appropriate stretching exercise often enhance the effects of spinal
manipulation.
Medications
and/or trigger point injections may sometimes enhance manipulation
and massage.
Light exercise
and normal activity should be resumed (as tolerable) after manipulation/massage
to aid in maintaining joint motion and preventing a return of
spasm. For the same reasons, static sitting/standing should be
avoided.
Ice helps
minimize inflammation and relieve pain, and should be used for
the first 48 hours after injury.
Heat helps
relieve muscle spasm, in addition to increasing blood circulation,
to speed healing AFTER inflammation has been controlled.
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