A Case Report on the Use of Psychologically Informed Practice in the Case of a Person With Persistent Lower Back Pain

BACKGROUND: This case report explores the application of psychologically informed practice (PIP) during the physiotherapeutic management of a person with persistent lower back pain (LBP). CASE PRESENTATION: Paul, a 35-year-old male with a 5-year history of LBP, presented to an outpatient musculoskeletal clinic. Key components of the PIP approach included acceptance and commitment plus the development of a strong therapeutic alliance. OUTCOME AND FOLLOW-UP: Over 6 sessions across 3 months, PIP facilitated improved communication, reduced emphasis on structural pathology, and enhanced functional outcomes. This was evidenced by a 6-point improvement on the Patient-Specific Functional Scale. DISCUSSION: While PIP demonstrated clear benefits in this case, challenges such as time constraints, emotional demands on clinicians, and the need for ongoing professional development were identified. Nevertheless, PIP offers a promising framework for addressing the complex needs of individuals with persistent pain. JOSPT Cases 2026;6(1):5-10. Epub 3 December 2025. doi:10.2519/josptcases.2025.0177