Chronic Mechanical Low Back Pain: A Case Study

This case study focuses on a 55-year-old male patient with chronic low back pain (LBP) persisting for six months, exacerbated by manual labor activities like lifting and bending. Clinical evaluation revealed pain localized to the lumbar spine (L4-L5) and X-ray findings of loss of lumbar lordosis, suggesting mechanical stress. Key risk factors included occupational strain, poor ergonomics, and age-related changes. A multidisciplinary treatment plan was implemented, comprising NSAIDs, muscle relaxants, physical therapy for core strengthening and posture correction, and ergonomic guidance. Adjunctive measures provided additional relief, including heat therapy and lumbar support belts. Over four weeks, the patient?s pain scores reduced from 6/10 to 2/10, with marked improvement in daily functionality. This case underscores the importance of integrating medical, physical, and preventive strategies for effective LBP management.