The treatment of soft tissue after spinal injury.

There are a number of modalities available for the treatment of soft tissue that are applicable to spinal injuries. Each has a long history of use; however, there is relatively little scientific data to support the effects often seen in the clinical setting. Only through careful evaluation and specific diagnosis can these methods of treatment be utilized to their fullest potential. The underlying pathology must always be addressed as well as its soft-tissue manifestations. Direct treatment of the mechanical derangement must take precedence when such conditions exist. The total treatment must incorporate patient education in posture and positioning as well as prophylactic measures. In later stages of rehabilitation, a general strengthening program to further prevent reinjury should be embarked upon. It must always be remembered that treatment of soft tissue alone rarely provides long-lasting relief of symptoms.