THE PILATES METHOD FOR PAIN MANAGEMENT IN A PATIENT WITH LUMBAR DISC HERNIATION: AN EXPERIENCE REPORT

Abstract

This study aimed to report the experience of providing physical therapy to a patient with lumbar disc herniation (LDH), emphasizing the application of the Pilates Method and the changes observed during the rehabilitation process. This is a descriptive, qualitative case report based on the treatment of a 46-year-old male patient diagnosed with lumbar disc protrusion associated with vertebral osteophytes. Initially, the patient presented with an acute episode of lumbar radiculopathy (lumbosciatica), reporting pain levels between 8 and 9 on the Visual Analog Scale (VAS) and significant functional limitation. Initial treatment involved electroanalgesia, manual therapy, neuromodulation, neural manipulation, dry needling, and kinesiotherapy exercises. Subsequently, the Pilates Method was incorporated, performed twice weekly for approximately one year. Throughout the treatment, progressive pain reduction, improved muscle strength, increased flexibility, greater lumbar stability, and a return to functional activities were observed. The experience highlights the importance of continuous physical therapy and suggests that the Pilates Method can serve as a complementary tool in the rehabilitation of individuals with LDH.