Managing low-back pain: steps to optimize function and hasten return to activity.

Low-back pain in active patients is common and often recurs. Comprehensive treatment includes control of pain and inflammation, limited bed rest, early therapeutic exercises within a pain-free range, lumbar stabilization exercises, strengthening of the muscles of the trunk and kinetic chain, aerobic conditioning, and correction of faulty biomechanics. The goal of rehabilitation is to restore normal lumbar spine function and promote independent return to activity. Normal lumbar spine function and the absence of symptoms following sport-specific skills ensure successful return to competition. A patient handout is included.