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

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.