27 Oct Patlents a 32 yearold Amcan Americanfemalewith chief complaintsof low backpain The pain began suddenly when she stood up from a chair There was no specific trauma associated with the onset of pain

Patlents a 32 yearold Amcan Americanfemalewith chief complaintsof low backpain The pain begansuddenlywhenshestoodup from a chair Therewasno specific traumaassociatedwith the onsetof pain Thepainwasdescribeddassharp bilateral painin herlower back Thatwasrated6 out of 10. The painis consistenbut gets worsewhenshestandsup from a sitting or lying position It is relievedby sitting or lying. Patienthastakenoverthe counterNSIADS for pain but they providedno relief. Patient doesnot recall anyspecifictraumato herback but shewaslifting a heavysuitcase while traveling 3 daysprior to the onsetof pain Shewalkedinto therapyvery slow and cautiousandcommentedhatshewas"slow asa snail’. Herinitial activethoracicspine flexion was45 degreeandextensionwas 10 degreesShehasbeenapprovedfor 3 physicaltherapysessionsandwe will beworking on decreasingnflammationalong with mild stretcheso increaselexibility .