Multimodal Physical Therapy Management of Dysmenorrhea With Coexisting Mechanical Low Back Pain and Early Degenerative Lumbar Spondylosis: A Case Report

Nadia Afrin Urme; Asma Islam; Fabiha Alam; Md Rifat Haidar; Md Waliul Islam; R Rafiul Islam; Polok Halder

doi:10.1002/ccr3.73215

July 23, 2026Clinical Case ReportsOpen Access

Multimodal Physical Therapy Management of Dysmenorrhea With Coexisting Mechanical Low Back Pain and Early Degenerative Lumbar Spondylosis: A Case Report

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Key Points

To explore the effects of multimodal physiotherapy on dysmenorrhea and coexisting low back pain in a young woman.
A 21-year-old woman received 4 weeks of multimodal physiotherapy.
Treatment focused on managing dysmenorrhea and assessing mechanical low back pain and early lumbar spondylosis.
Overall changes in menstrual flow and hemoglobin levels were monitored cautiously.
Pain and functional improvements were observed after the 4-week therapy.
However, heavy menstrual bleeding posed diagnostic challenges and wasn't solely attributed to therapy.
Hemoglobin levels were noted but changes were interpreted with caution.

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Implication

Case report shows improved pain and function in a woman with dysmenorrhea and low back pain, indicating therapeutic potential.

Abstract

A 21‐year‐old woman with dysmenorrhea, mechanical low back pain, early lumbar spondylosis, heavy menstrual bleeding, and anemia received 4 weeks of multimodal physiotherapy. Pain and function improved, but heavy bleeding created diagnostic uncertainty; menstrual flow and hemoglobin changes were interpreted cautiously and not attributed to physiotherapy alone.

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Urme et al. (2026) studied this question.

synapsesocial.com/papers/6a65a7e0d3aea3239cd788d6 https://doi.org/10.1002/ccr3.73215

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Multimodal Physical Therapy Management of Dysmenorrhea With Coexisting Mechanical Low Back Pain and Early Degenerative Lumbar Spondylosis: A Case Report

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Multimodal Physical Therapy Management of Dysmenorrhea With Coexisting Mechanical Low Back Pain and Early Degenerative Lumbar Spondylosis: A Case Report

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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