The outcomes of a Mckenzie-based approach combined with other interventions for a patient with low back pain and PIVD

Vaidehi Kannao, Nikita Deshmukh, Waqar Naqvi*, Sakshi P. Arora

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

ABSTRACT

Low backache is the most common health condition among adults which leads to pain and disability. Radiculopathy is a impaired condition that causes low back pain that radiates to the lower extremity. The aim of this case study is to establish a comprehensive physical therapy plan for a patient who has chronic low back pain and PIVD. The patient was a 30-year-old female with a one month history of LBP. The pain further radiated to both legs. Further magnetic resonance imaging (MRI) was done, which indicated PIVD at the level ofL4-L5The patient's main concern about her condition was that she was unable to work, engage in her once-loved hobbies, and function without pain or discomfort, and pain has disrupted her sleep. After eight weeks the pain level on the Numerical Pain Rating Scale had reduced from 7/10 at worst to 2/10. The patient said that aggravating pain is reduced. Capacity to function has been restored and sleeping has also been improved. A detailed physical therapy program that included a patient with chronic low back pain and PIVD are McKenzie extension exercise, therapeutic exercise, electrical stimulation, individualized patient education, manual techniques, superficial heat and home exercise program.

Keywords:

Lumber spine, Low back pain, PIVD, Radiculopathy, McKenzie