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Chronic Lower Back Pain - Desk Worker

Overview & Presentation

Anna presented with a three-year history of lower back pain: constant dull ache (3–4/10) worsening to 7/10 after long working days. Assessment revealed significant hip flexor tightness, weak deep core stabilisers, and a flat lumbar lordosis consistent with prolonged sitting.

Treatment Programme

01

Sessions 1–2 · Assessment & Release

Comprehensive postural and movement assessment. Soft tissue treatment targeting psoas, TFL, and thoracolumbar fascia. Immediate pain reduction reported.

02

Sessions 3–4 · Motor Control

Dead bug and bird-dog progressions to re-establish deep core activation. Hip flexor protocol and ergonomic desk assessment provided.

03

Sessions 5–6 · Load Tolerance

Progressive strengthening - glute bridges, Romanian deadlifts, pallof press. Resting pain reduced to 0–1/10 by session 6.

Outcome

Full resolution of resting pain and only occasional mild discomfort during extended travel. Continues a 10-minute daily maintenance programme. No significant recurrence in six months.

"Three years of pain gone in eight weeks. Harry actually listened, explained the cause, and fixed it - something no one else had managed."

Anna H Fareham

Pain Resolved

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