Physical Therapy Case Study

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Brief description of patient / relevant background (no names please):
25-year-old female pt of Asian (Pakistani) ethnicity reported to outpatient rehabilitation. After initial success with physical therapy in 2015, pt reports to physical therapy once again with low back pain. As a result of the MRI, patient was diagnosed with Spondylolisthesis at L5-S1 secondary to loss of disc height and mild degenerative spondylosis at T12-L1, L1-L2 and L4-L5. Pt reports with bilateral numbness and tingling down to buttocks. Pt reports 7/10 pain in lower back around L5. Pt is anemic and has high cholesterol levels as shown in blood tests that were completed in September 2017. Pt did not undergo any surgery for spondylolisthesis and wants to avoid surgery …show more content…

The results were as follows. There was a significant reduction in pain intensity shown by the McGill pain questionnaire. Improvements in functional disability levels were also seen by the Owestry Disability Questionnaire. These results persisted after a 30-month follow-up.

Another randomized control study conducted by Weinstein et al. directly examined the effectiveness of surgery to nonsurgical treatments for patients with spondylolisthesis. 601 patients were selected from 13 centers in 11 U.S states, all of whom had 12 weeks of symptoms (low back pain and radicular leg pain) and image-confirmed spondylolisthesis. The participants were randomly assigned to one of three groups: surgery, non-surgical treatment, and an observational cohort. The surgical intervention consisted of decompressive laminectomy with bilateral single-level fusion. The nonsurgical care included active physical therapy, education and counseling with instructions regarding home exercise, and nonsteroidal anti-inflammatory drugs. The surgical group displayed an increased in relieving symptoms (Low Back Pain Bothersomeness Scale, SF-36 Bodily Pain), improved function (Owestry Disability Index, SF-36 Physical Function), and statistically significant scores on primary and secondary outcome tools (e.g. Stenosis Bothersomeness Index, Leg Pain Bothersomeness Scale). In addition, Weinstein et al. did a four-year follow-up, which supported surgical intervention

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