A Case Report on the Use of Psychologically Informed Practice in the Case of a Person With Persistent Lower Back Pain

Turner, Dale ORCID: https://orcid.org/0009-0009-7717-2330, Kyte, Derek ORCID: https://orcid.org/0000-0002-7679-6741 and Paterson, C. (2025) A Case Report on the Use of Psychologically Informed Practice in the Case of a Person With Persistent Lower Back Pain. JOSPT Cases, JA. pp. 1-17. ISSN 2767-2921

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Abstract

BACKGROUND: This case report explores the of application of Psychologically Informed Practice (PIP) during the physiotherapeutic management of a person with persistent lower back pain (LBP).

CASE PRESENTATION: Paul a 35-year-old male with a 5-year history of LBP presented to an outpatient musculoskeletal clinic. Key components of the PIP approach included; Acceptance and Commitment and the development of a strong therapeutic alliance.

OUTCOME AND FOLLOW UP: Over 6 sessions across 3 months, PIP facilitated improved communication, reduced emphasis on structural pathology and enhanced functional outcomes, evidenced by a 6-point improvement on the Patient-Specific Functional Scale.

DISCUSSION: While PIP demonstrated clear benefits in this case, challenges such as time constraints, emotional demands on clinicians and the need for ongoing professional development were identified. Nevertheless, PIP offers a promising framework for addressing the complex needs of individuals with persistent pain.

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