Comprehensive Physiotherapy Management in PIVD Patient

Rutuja Parkhi, Neha Chitale, Mitushi Deshmukh*, Sakshi P Arora, Waqar M Naqvi, Pratik Phansopkar

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

Refer this article

Rutuja P, Neha C, Mitushi D, Sakshi P Arora, Waqar M. N, Pratik P, 2021. Comprehensive Physiotherapy Management in PIVD Patient: A case report”. Journal of Medical Pharmaceutical and Allied Sciences, V 10 - I 5, 1340 Pages - 3640-3642. Doi:10.22270/jmpas.V10I5.1340

ABSTRACT

Back pain from prolapsed intervertebral disc is a common reason for physiotherapy management. Therefore, the objective of this case study was to define and address the use of electrotherapy modalities with the lumbar exercises and core stabilization workout with a lumbar herniated disc patient. Patient information and diagnosis: A 37 year old women patient consulted to the physiotherapy treatment with scan confirmed by MRI of prolapsed intervertebral disc (L5-S1). The key symptoms of the patient was pain in the back region and radiating ache in the right buttock followed by numbness and tingling sensation in the right leg. Therapeutic interventions: The first therapeutic initial weeks composed of modalities (TENS) with back muscles exercises and core stabilization exercises. As an addendum to the extension exercises, mechanical traction and strengthening and stability exercises were added for the following weeks. Outcome indicators include the functional scale for back pain and the numerical pain assessment scale (NPRS). Outcomes from initial assessment to discharge the functional back pain scale 34/60 to 58/60 and NPRS 7/10 to 0/10) showed that the patient no longer suffered from low back pain and enhanced functional status. The patient no longer worried of numbness and tingling in the right leg and the patient's objectives were achieved. The evidence from this case report indicates back muscles exercises and core stabilization exercises with modalities that encouraged the patient's pain improvement and return to the previous function stage.

Keywords:

Lumbar disc herniation, back pain, TENS, lumbar exercises, core strengthening exercises

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