Physiotherapy Management of Pain and Disability in Pott’s Spine: A case study

Background: In developing countries Tuberculosis is one of the main reason for mortality and motility. Tuberculosis is a bacterial disease caused by Mycobacterium tuberculosis. It is highly contagious disease. The prevalence rate of TB was estimated in 2016 as 10.4 million as per the World Health Organization. TB is commonly associated with HIV Patients. TB can affect both the genders but men are more prone as compare to females. The spinal TB is usually diagnosed by clinical features and radiographs, MRI and CT scan. The Management of Spinal TB includes chemotherapy, surgical management and physiotherapy rehabilitation. Objectives: The objective of this case study was to provide the relief to the patient in terms of pain as well increase the functional independence. This case study evaluates the effect of physiotherapy in the case of low back due to the post symptoms of Potts’s spine. Case description: A 20 year old male visited the physiotherapy department with the complication of low back pain with the severity of 7 out of 10 on NPRS and disability index of 22%. He presented with the past history of Pott’s spine. The X-ray and MRI findings revealed the post effects of his old condition as there is block vertebra and there is dissolution of the disc at LV3-LV4 with the normal spinal alignment but there is radiating pain in the right leg. Outcome measures: The outcome measures or the assessment tools used for this study was Numerical pain rating scale for the pain, Manual muscle testing to check strength of muscles and the ODI for LBP. Result: The study findings shows progressive changes in the parameters taken in the beginning of the study. There was reduction in the pain and decrease in scoring of the low back disability index. Result: the study findings shows significant changes in the parameters taken in the beginning of the study. There was reduction in the pain and Oswestry back disability index also shows improvement. Conclusion: This study concluded that the physiotherapy treated provided beneficial effect on pain and improves the disability index as well as improves the functional capabilities of person having low back pain due to post symptoms of pott’s spine. This study is an addition to the evidence about the physiotherapy rehabilitation progressive effects. Key words: Physiotherapy, Pott’s spine, Pain, Disability.