Chronic Low Back Pain Case

Sue, a 45-year-old lady, came to Orewa Chiropractic referred by a GP to evaluate and manage her complaint of chronic low back pain. She had been suffering for about one year, and the symptoms worsened. She initially slipped and fell on a wet surface at home, landing on her right hip. X-rays were unremarkable.
The pain varied from 4/10 to 9/10 at its worst. She was very active before the accident, but she had very little physical activity. Rising from a chair, putting shoes on and turning over the bed was painful, and cleaning and gardening impossible. Driving or walking for more than 15 minutes was excruciating.

Examination of Chronic Low Back Pain:
The lumbar spine was reversed sitting, but the arch increased standing contrarily. The gait was very short, with little strength around the hips.
Lumbar paraspinal and gluteal muscles were tight and tender with moderate pressure. The range of motion was considerably restricted at the lumbo-pelvis junction.

Management of Chronic Low Back Pain:
We started the course of chiropractic sessions per week, including adjustments and muscular release techniques. After three weeks, Sue was more mobile, dealing better with daily activities, sleeping deeper and walking for 15 minutes with little hindrance. The chiropractor prescribed then specific stabilisation exercises of the lumbar spine and hips. After four weeks, Sue complained of intermittent ache, 4/10 at worst. Most activities were pain-free except gardening. She started more advanced strength, mobility and endurance exercises and still receiving adjustments weekly.

After 12 weeks, Sue returned to her previous life, free of chronic low back pain and enjoying all the physical activities she loved and being much more optimistic about her life. She visited her chiropractor monthly to receive adjustments until the end of the year to settle down the progress.


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