Comprehensive Physiotherapeutic Approach in Managing Lumbar Schmorl’s Node: A Case Report
Schmorl’s nodes are indicative of Intervertebral Disc (IVD) protrusion into the vertebral body, with epidemiological predominance of 76% amongst males. The condition is usually asymptomatic with rare presentation of pain in few cases, making Non steroidal Anti-inflammatory Drugs (NSAIDs) and physiot...
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JCDR Research and Publications Private Limited
2025-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/20857/77088_CE[Ra1]_F(SHU)__PF1(KrA_OM)_PFA(IS)_PB(KrA_IS)_PN(IS).pdf |
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| author | Prince Rohilla Rajeev Kumar Singh Shazia Mattu Nitika Roy |
| author_facet | Prince Rohilla Rajeev Kumar Singh Shazia Mattu Nitika Roy |
| author_sort | Prince Rohilla |
| collection | DOAJ |
| description | Schmorl’s nodes are indicative of Intervertebral Disc (IVD) protrusion into the vertebral body, with epidemiological predominance of 76% amongst males. The condition is usually asymptomatic with rare presentation of pain in few cases, making Non steroidal Anti-inflammatory Drugs (NSAIDs) and physiotherapeutic management as typical line of treatment. Although physiotherapy is helpful in this condition, studies are scarce with set physiotherapeutic interventions lacking. This case report presents a 30-year-old male having lower back ache (LBA) with Schmorl’s nodes at the superior endplate of L3 vertebral disc. Therefore, this case report highlights the importance of a comprehensive physiotherapeutic approach including a combination of electrotherapy, manual therapy, exercise therapy, and education on posture as well as ergonomics. Significant improvement in Low Back Pain (LBP) {Numerical Pain Rating Scale (NPRS)}, strength of core and lower extremity {Manual Muscle Testing (MMT)}, functional outcome {Oswestry Disability Index (ODI)} and Quality of Life (QoL) {Short Form Health Survey (SF-36)} were noted after six weeks of intervention. Further research is warranted to validate the effectiveness of this approach in a larger patient population. |
| format | Article |
| id | doaj-art-5f1073ceb60e4f538d9d7fe2e8885ede |
| institution | OA Journals |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-5f1073ceb60e4f538d9d7fe2e8885ede2025-08-20T02:13:27ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-05-01195YD01YD0510.7860/JCDR/2025/77088.20857Comprehensive Physiotherapeutic Approach in Managing Lumbar Schmorl’s Node: A Case ReportPrince Rohilla0Rajeev Kumar Singh1Shazia Mattu2Nitika Roy3Physiotherapist, Department of Physiotherapy, VMMC and Safdarjung Hospital, South Delhi, New Delhi, India.Assistant Professor, School of Physiotherapy and Rehabilitation Sciences, KR Mangalam University, Sohna Road, Gurugram, India.Associate Professor, School of Physiotherapy and Rehabilitation Sciences, KR Mangalam University, Sohna Road, Gurugram, India.PhD Scholar, Delhi Pharmaceutical Science and Research University, Mehrauli-Badarpur Road, Pushp Vihar, New Delhi, India.Schmorl’s nodes are indicative of Intervertebral Disc (IVD) protrusion into the vertebral body, with epidemiological predominance of 76% amongst males. The condition is usually asymptomatic with rare presentation of pain in few cases, making Non steroidal Anti-inflammatory Drugs (NSAIDs) and physiotherapeutic management as typical line of treatment. Although physiotherapy is helpful in this condition, studies are scarce with set physiotherapeutic interventions lacking. This case report presents a 30-year-old male having lower back ache (LBA) with Schmorl’s nodes at the superior endplate of L3 vertebral disc. Therefore, this case report highlights the importance of a comprehensive physiotherapeutic approach including a combination of electrotherapy, manual therapy, exercise therapy, and education on posture as well as ergonomics. Significant improvement in Low Back Pain (LBP) {Numerical Pain Rating Scale (NPRS)}, strength of core and lower extremity {Manual Muscle Testing (MMT)}, functional outcome {Oswestry Disability Index (ODI)} and Quality of Life (QoL) {Short Form Health Survey (SF-36)} were noted after six weeks of intervention. Further research is warranted to validate the effectiveness of this approach in a larger patient population.https://jcdr.net/articles/PDF/20857/77088_CE[Ra1]_F(SHU)__PF1(KrA_OM)_PFA(IS)_PB(KrA_IS)_PN(IS).pdfcomprehensive physiotherapyintervertebral disclow back painrehabilitation |
| spellingShingle | Prince Rohilla Rajeev Kumar Singh Shazia Mattu Nitika Roy Comprehensive Physiotherapeutic Approach in Managing Lumbar Schmorl’s Node: A Case Report Journal of Clinical and Diagnostic Research comprehensive physiotherapy intervertebral disc low back pain rehabilitation |
| title | Comprehensive Physiotherapeutic Approach in Managing Lumbar Schmorl’s Node: A Case Report |
| title_full | Comprehensive Physiotherapeutic Approach in Managing Lumbar Schmorl’s Node: A Case Report |
| title_fullStr | Comprehensive Physiotherapeutic Approach in Managing Lumbar Schmorl’s Node: A Case Report |
| title_full_unstemmed | Comprehensive Physiotherapeutic Approach in Managing Lumbar Schmorl’s Node: A Case Report |
| title_short | Comprehensive Physiotherapeutic Approach in Managing Lumbar Schmorl’s Node: A Case Report |
| title_sort | comprehensive physiotherapeutic approach in managing lumbar schmorl s node a case report |
| topic | comprehensive physiotherapy intervertebral disc low back pain rehabilitation |
| url | https://jcdr.net/articles/PDF/20857/77088_CE[Ra1]_F(SHU)__PF1(KrA_OM)_PFA(IS)_PB(KrA_IS)_PN(IS).pdf |
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