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Lower Cross Syndrome Case Report

This document presents a case study of a 52-year-old male patient complaining of low back pain for the past 2 months. It details his history and examination findings, with tenderness and limited range of motion noted. Differential diagnoses are considered and a provisional diagnosis of mechanical low back pain due to lower cross syndrome is made. His physiotherapy management plan over 12 days is outlined, including modalities, manual therapy, stretching and strengthening exercises.

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leo sam
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43 views20 pages

Lower Cross Syndrome Case Report

This document presents a case study of a 52-year-old male patient complaining of low back pain for the past 2 months. It details his history and examination findings, with tenderness and limited range of motion noted. Differential diagnoses are considered and a provisional diagnosis of mechanical low back pain due to lower cross syndrome is made. His physiotherapy management plan over 12 days is outlined, including modalities, manual therapy, stretching and strengthening exercises.

Uploaded by

leo sam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Case Presentation

Mentor : Prithvi Ma’am


Name : Yash Goswami
Enrollment no. : 10311202620
Batch : 2020 [4th Year]
Case report : lower cross syndrome

1
Demographic Details

▰ Name : abc
▰ Age : 52 years
▰ Gender : Male
▰ Address : Gurugram, Haryana
▰ Occupation : Service
▰ Dominance : Right
▰ Date of assessment : 23/02/24

2
Chief Complaint :

▰ The patient complaints of Low back pain since past 2


months.

3
History :

▰ History of present illness : Low back pain & stiffness


since 2 months.
▰ Past History : Not significant
▰ Medical History : Not significant
▰ Drug History : Diclofenac gel and Ibuprofen
▰ Surgical History : renal calculi, appendectomy.
▰ Personal History : Smoker
▰ Occupational History : Not significant

4
Pain Assessment :

▰ Onset : Gradual
▰ Duration : 2 months
▰ Location : around the region of L5-S1
▰ Radiation : Not significant
▰ Nature of Pain : Gradual
▰ Type of pain : Dull, aching

5
▰ Aggravating factor : Lifting heavy weight,long standing
▰ Relieving factor : Rest, Diclofenac gel
▰ Severity of pain : Moderate
▰ Intensity of pain : On VAS : On Activity – 8, On rest – 1
▰ Diurnal Variation : At night

6
Body chart of pain :

7
On Observation :

▰ Body Built : Ectomorphic


▰ Gait : Normal gait
▰ Posture : Rounded shoulder
▰ Assistive device used : None
▰ Deformity : none
▰ Muscle wasting : none
▰ Attitude of limb : Normal
▰ Mental and Emotional state: stressed

8
On Palpation

▰ Tenderness : Present around L5-S1(Grade 2


– Patient winces due to pain.)
▰ Oedema : No
▰ Warmth : No
▰ Swelling : No

9
On Examination

▰ Range of Motion (For spinal movement) :

Unable to measure ROM (because of pain)

10
▰ Manual Muscle Testing (Muscle strength)

Unable to take MMT as full ROM is not available.

11
Special Tests :

▰ Straight Leg Raise – Negative


▰ 90-90 test (Hamstrings)- Positive test
▰ Thomas test(Hip flexors) – Positive
▰ FABER – Negative.

12
SPECIAL TEST:

13
Differential Diagnosis

▰ PIVD – SLR negative


▰ SI joint dysfunction – fabers test

14
▰ Investigations : The patient did not have any
investigatory reports with him.
▰ Provisional Diagnosis : Mechanical lower back pain
due to Lower Cross syndrome

15
Management

▰ Goals :
▰ Short term goals :
1. To reduce pain
2. To reduce stiffness
▰ Long term goals :
1. To increase the joint range of motion
2. To increase the muscle strength
3. To return to day-to-day functional activites

16
Treatment
▰ Physiotherapy Management :
▰ Day 1 to Day 5 :
▰ Modalities: US at 3Mhz frequency and intensity of
0.8W/cm2.
IFT – 4 pole classic beat frequency 80Hz for 10 minutes.
▰ Stretching: hamstrings, hip flexors
▰ Manual therapy: STM of back extensors
▰ Exercises : knee to chest and prone SLR(exercise started at
4th day)

17
▰ Day 6 to Day 12 :
▰ continue same treatment with modification of exercise.
▰ Exercises : Core strengthening – knee to chest exercise
Tummy tuck-in, Partial curls(partial crunches)[each exercise
3 sets of 15 reps].
Gluts strengthening – pelvic bridging, Prone leg raises, side
lying hip abduction.[each exercise 3 sets of 15 reps].

18
Home Advice

▰ Do not over exercise


▰ Avoid heavy weight lifting

19
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