Management of a Case with Nonspecific Chronic Low Back Pain by Prescribing Breathing Exercises and Visceral Manipulation

The aim of this study is to report a successful management of a sever nonspecific chronic low back pain relating to visceral stiffness and altered respiratory pattern.
Clinical Findings: A 33-year-old female with nonspecific low back pain, with abnormal visceral stiffness, pain in the right abdominal side, pain and tenderness in areas of pelvic and respiratory diaphragms and inability in diaphragmatic breathing. Pain severity was reported as 10 based on VAS. MRI findings showed intervertebral disc protrusion at L5-S1 level.
Diagnosis: Pain derived from visceral spasms.
Management: Four sessions of visceral manipulation with diaphragmatic breathing exercises and general stretching exercises.
At the end of 1st session, the pain severity was improved for 80%, at the end of 2nd session the patient was able to perform perfect diaphragmatic breathing and pain severity was reported 3 based on Visual Analogue Scale (VAS). After 3rd session, pain was felt only at the time of wake up.