Effective Physical Therapy Treatment of Post-Cesarean Section Low Back Pain – Case Report
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 22, Issue 12
Abstract
Introduction: Treatment of low back pain after cesarean section has been studied with exercise programs, but there has been little with a full physical therapy treatment plan involving manual therapy and therapeutic exercise. Case: 38 year old female 2.5 years after cesarean section. Presenting with a previous history of low back pain treated by laminectomy. Patient reported marked difficulty lifting her child due to low back pain. Interventions: Manual therapy was performed, involving soft tissue manipulation, to abdominal muscles, gluteal muscles, and SI joints. Therapeutic exercise involved strengthening the abdominals and gluteus medius muscles. Patient was treated 7 times over 5 weeks. Outcomes: Pain on Verbal Numeric rating scale (VNRS) decreased from 6-7/10 to 0/10. Objective measure by Focus on Therapeutic Outcomes (FOTO) lumbar scale showed improvement from 59 to 82, with an increase of 8 points being a clinically significant improvement. Patient was able to lift her child pain-free. Conclusions: A physical therapy treatment plan combining manual therapy and therapeutic exercise was very effective in treating a patient with low back pain after a cesarean section.
Authors and Affiliations
Timothy Hui
Keywords
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- EP ID EP311981
- DOI 10.9734/JAMMR/2017/34897
- Views 37
- Downloads 0
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