Office Worker in Cyberjaya with Chronic Back Pain

Presenting Complaint

Aina presented with persistent lower back pain that had been worsening over the past 6 months. She reported sitting for 8-10 hours daily at her workstation with minimal breaks. The pain was described as a dull ache that intensified towards the end of the workday. She had difficulty sleeping due to discomfort and noticed increasing stiffness every morning.

Assessment Findings

Assessment revealed poor lumbar lordosis due to prolonged flexed sitting posture. There was significant weakness in the deep core stabilisers (transversus abdominis and multifidus). Hip flexors were tight bilaterally, and thoracic spine mobility was reduced. No neurological deficits were detected. Pain was localised to L4-L5 region without radiculopathy.

Treatment Plan

• Manual therapy – spinal mobilisation and soft tissue release (2x per week for first 3 weeks)
• Core activation and stabilisation exercises – progressive program from basic to advanced
• Ergonomic workstation assessment and modification advice
• Hip flexor stretching and thoracic mobility exercises
• Postural re-education and movement pattern correction
• Home exercise program with daily stretching routine
• Gradual return to physical activity including walking and swimming

Outcome

After 8 weeks of physiotherapy, Aina achieved a 90% reduction in pain levels and was able to work a full day without significant discomfort. She continues her home exercise program independently and takes regular movement breaks throughout the day. A follow-up at 3 months confirmed sustained improvement.