Nonsurgical treatment should be considered for patients without long-tract signs or major neurologic deficits. A short trial regimen of bed rest with gradual mobilization and limitation of activities involving axial loading and repetitive flexion and extension can be beneficial. Thoracolumbosacral orthosis bracing may be effective. Pain can be managed symptomatically with nonsteroidal anti-inflammatories, acetaminophen, and/or judicious use of narcotics. Physical therapy involving postural training, hyperextension strengthening, back school, and cardiovascular conditioning should also be attempted.¹
¹Garfin MD, Steven. Orthopaedic Knowledge Update : Spine. Rosemont: American Academy of Orthopaedic Surgeons, 1997.