Mrs. B Case Studies

Client Profile:

Female
Sedentary worker for housing association
Undertaking phased return to work after L4/L5 spinal fusion

Mrs. B sought physiotherapy support four months after an L4/L5 spinal fusion. She was experiencing pain and stiffness in her lower back, especially when sitting or walking for long periods. As a result, she took leave from work and was unable to engage in her favourite hobbies. Mrs. B was looking for help with pain management, fatigue and education about what activities she should avoid.

Challenges:

Physical pain and stiffness in lower back
Fatigue
Poor squatting technique
Rigidity when walking
Tenderness in thoracic and lumbar spinal muscles and gluteals
Weak abdominals
Anxiety and fear about undertaking physical activities

Support Provided:

Manual therapy, including massage and accupuncture
Education on post-operative healing and recovery expectations
Squatting and bending techniques
Workplace ergonomics
Gait re-education
Positive reassurance and diaphragmatic breathing exercises
Home exercises to build abdominal and gluteal strength

Outcome:

Mrs. B’s physical symptoms eased significantly, and she returned to full duties and a 5-day work week. She resumed walking 45 minutes daily, attending Pilates classes and doing light gardening. Mrs. B’s confidence also improved, meaning she was less anxious and fearful of physical activity.