LUMBAR SCOLIOSIS: EVALUATION AND MANAGEMENT OF A BIOMECHANICAL DISORDER IN A MEDICAL CLINIC IN AREQUIPA

Abstract

Lumbar scoliosis is a biomechanical condition that, although in some cases it can be congenital, is also directly associated with degenerative postural factors. This disorder not only affects spinal alignment but can also trigger chronic pain, functional limitations, occupational and social problems, and even disability, depending on its complexity. The purpose of this case was to describe the management and evolution of a patient with lumbar scoliosis treated in Peru. The case presented was that of a 35-year-old woman who came to the doctor's office complaining of severe lower back pain and restricted movement in her daily activities. The physical examination revealed tension, increased muscle tone, and restricted movement, which are consistent with findings compatible with mechanical low back pain and postural abnormalities. A comprehensive physiotherapy treatment was implemented, including various techniques such as thermotherapy, electrotherapy, massage therapy, and kinesiotherapy. The main focus is on muscle stretching to correct spinal deformities and, in turn, generate postural re-education, all aimed at improving spinal stability and correcting associated deformities. The patient showed favorable clinical progress, with pain relief and improved mobility, highlighting the importance of personalized physical therapy treatment. This case demonstrates the need for a multidisciplinary physical therapy approach, where muscle stretching and strengthening are the cornerstones of an adequate quality of life for patients with lumbar scoliosis.