Ramesh Prajapati
50 Years Old | Male
Presenting Complaints
- Persistent low back pain with right-sided radiculopathy (tingling) extending to the foot.
- Significant limitations in weight-bearing activities, including sitting, standing, and walking.
- Prolonged static postures or extended periods of ambulation.
Medical Diagnosis
- Gradual onset of lumbar spine pathology leading to nerve root compression and right‑sided radicular symptoms.
Mechanism / Onset
- Repetitive postural strain and prolonged vibration exposure during two‑wheeler travel leading to cervical and lumbar spine degenerative changes with nerve root irritation.
Medical Management
- Conservative medical management as advised by the treating physician.
Assessment & Clinical Findings
Clinical Findings
- Pain: Low back pain with radiation to the right lower limb
- Neurological Symptoms: Tingling sensation along the right leg up to the foot
- Posture:Presence of right lateral shift
- Functional Limitation: Difficulty in prolonged sitting, standing, and walking
Physiotherapy Intervention Plan
Static Exercises
- Back static exercises for core stabilization
Class IV Laser Therapy
- Class IV laser therapy for pain relief and tissue healing
Transcutaneous Electrical Nerve Stimulation (TENS)
- Transcutaneous Electrical Nerve Stimulation (TENS) for pain modulation
Intermittent Lumbar Traction
- Intermittent lumbar traction to reduce nerve root compression
Treatment Outcomes
Significant reduction in low back pain and radicular tingling
Improved functional tolerance
Able to sit, stand, and walk for prolonged periods without significant discomfort
Clinical Conclusion
This case highlights the effectiveness of a comprehensive physiotherapy approach in managing cervical spondylosis with lumbar radiculopathy. The treatment plan successfully addressed the patient’s symptoms through a combination of therapeutic exercises, pain management techniques, and postural correction strategies. The significant improvement in pain levels and functional abilities demonstrates the value of targeted rehabilitation in managing work-related musculoskeletal disorders. The patient’s ability to return to prolonged two-wheeler driving without significant discomfort underscores the success of the intervention in restoring functional independence and quality of life.