Active
In active therapy, you do the work of physical movement and exercise yourself to improve your strength, ease pain, increase flexibility, and support better function of your whole body.
- Use of a Theraband (a resistance band designed to help build muscle and facilitate stretching)
- Use of a Physioball (an exercise ball that improves core strength, balance, and stability)
Passive
In passive physical therapy, the physiotherapist, clinician, or chiropractor applies the therapy while you remain passive.
- Spinal manipulation (when a chiropractor or clinician applies controlled force to the affected joints to reduce pain and inflammation)
- Traction (also called spinal decompression, where the spine is stretched to relieve pressure)
- Chiropractic adjustments
- Ultrasound
- Electrical Muscle stimulation (EMS)
The passive approach is best for short-term pain relief, but is not recommended as a sole means of therapy. Instead, the best results occur when passive and active physiotherapies are combined in a treatment plan, according to the Institute for Clinical Systems Improvement.