Totally depends on the therapist.

Had 2 manual PTs in succession back in virginia and both were wonderful. They were gentle, did a lot of ultrasound which is very good for my tendons and ligaments, manual traction on my neck, joint mobilization, soft tissue work, strain-counterstrain. I mostly had to go for tendonitis, and neck, and SI.

When I was out of the critical stage, then and only then did they start with light strengthening exercises. Stretching was part of it too.

I had to run away from a few PTs who were too aggressive and then would argue with me.

Things that set me off / made me worse: massage, for a while, even very light massage made my muscles spasm more. trigger point therapy where they pressed on the trigger points; made them rebound worse. Ultrasound was awesome for the trigger points as was trigger point injections.


sue

Spondyloarthropathy, HLAB27 negative
Humira (still methylprednisone for flares, just not as often. Aleve if needed, rarely.)
LDN/zanaflex/flector patches over SI/ice
vits C, D. probiotics. hyaluronic acid. CoQ, Mg, Ca, K.
chiro
walk, bike
no dairy (casein sensitivity), limited eggs, limited yeast (bread)