Hi

So..continued to treat the above patient. Saw Xrays and confirmed that problem was Muscular.

Also went to check patient running, no major problems were evident.

The patient said that once he started wearing orthosis back pain diminished drastically. Furthermore,Mobes Grades 1 and 2 (AP) on L4 and L5 leverls helped alot. Heat therapy was continued daily. Massage was given after a number of sessions.

The patient stated that he is feeling much better, and only c/o pain on prolonged standing.Due to his work constarints, he will be stopping physio treatment, but I have advised on a month of hydrotherapy.

Any comments? thanks guys:hat