Physical Rehabilitation of PIVD in Geriatric Population - A Case Report

Abstract

Chronic Low Back Pain (CLBP) is a severe and widespread health issue. There are numerous classification and therapy systems for people with low back pain (LBP) that are based on the influence of lumbar postures and movements on symptoms. Chronic low back pain is a prevalent source of suffering that has significant personal and financial effects. Low back pain (LBP), one of the leading causes of disability, is on the rise throughout Africa and is a major issue. This rising prevalence will surely rise, particularly the number of older persons with chronic incapacity connected with an inability to work, which will influence healthcare costs and the nation's workforce. The most common cause of low back pain and sciatica is intervertebral disc lesions. Low back discomfort affects 5% of the population each year, yet only 1% of these people develop radiculopathy. Lumbar disc prolapse is a condition that affects people between the ages of 30 and 50, with a male majority and a link to repetitive mechanical stresses and smoking. The degree of symptoms varies as well, and for many individuals, discomfort and loss of function can lead to incapacity and extended sick leave. The protrusion from the nucleus pulposus through the annulus fibrosis is known as PIVD. This case study demonstrates that regular exercise, traction, back strengthening exercises, the use of modalities such as IFT, and correct ergonomics can all help to alleviate the symptoms of PIVD. For decades, surgical excision of the PIVD and decompression of the compressed nerve root have been the most widely acknowledged surgical treatment. Key words: Chronic low back pain, geriatric population, Posterior decompression, PIVD, Physiotherapy rehabilitation.