Hi Novice PT,

think youve had some great advice given already by physiobob and dr damien. I would go exactly with what physiobob said in getting Lx and Tx regions moving and extending to help take the pressure of extension off the L4/5 problematic area. To do this definitely go along the lines of dr damiens advice with gentle things like pelvic tilts utilising hip flexion and pillows given the patients age. I only reiterate this as its great advice and to try and take you away from the notion of manual mobs with this patient. Id suggest, if tolerated by the patient, using a foam roller to aid the Lx Tx extension which I find great for this.