Effectiveness of combined IRR and MFR technique in a 38 year old female with L4-L5 PIVD: a case report

Mehreen ali

doi:10.36948/ijfmr.2026.v08i03.77384

Effectiveness of combined IRR and MFR technique in a 38 year old female with L4-L5 PIVD: a case report

Author(s)	Mehreen ali
Country	India
Abstract	Overview of the condition : Prolapsed intervertebral disc PIVD is a common spinal disorder characterised by displacement of the nucleus pulposus through the annulus fibrosis leading to nerve root compression. It most frequently affects the lumbar region (especially L4-L5 and L5-S1) resulting in pain, radiculopathy and functional limitations. Epidemiology: PIVD is highly common among individuals aged 30-50 years with increasing incidence due to sedentary lifestyles, poor posture. Lumbar disc prolapse accounts majority of cases. Female in middle age may be predisposed due to many factors such as reduced muscle strength, ergonomic challenges, hormonal factors. Geographic condition: Geographic factors play a role in the development of PIVD. In developing regions like India, risk factors include : -Prolonged sitting (desk jobs, driving, household chores) -Poor ergonomics awareness -Manual labour and improper lifting techniques -Limited access to early physiotherapy care Urban population tends to show higher incidence due to sedentary lifestyle, whereas rural populations may develop PIVD due to repetitive physical strain. Technique of procedure : Management of PIVD can be either surgical or conservative, but mostly physiotherapy tends to be the first line treatment. Common physiotherapy techniques includes: -Pain management : electrotherapy (TENS, IFT, ultrasound) -Manual therapy: Joint mobilization, Soft tissue techniques -Exercise therapy: strengthening exercise, stretching exercise, ROM exercise -Postural correction and ergonomic training. This intervention aim to reduce pain, improve ROM, and restore functional independence. Scope of the study : This case study focuses on a PIVD involving lumbar (L4-L5) regions in a 38-year old female. This study highlights the effectiveness of a physiotherapy program in managing the pain, limited ROM. It highlights individualised management , functional recovery and avoidance of surgical intervention. The findings may contribute to clinical understandings and guide physiotherapists in managing similar complex cases.
Keywords	IRR, MFR
Field	Medical / Pharmacy
Published In	Volume 8, Issue 3, May-June 2026
Published On	2026-05-07
DOI	https://doi.org/10.36948/ijfmr.2026.v08i03.77384

View / Download PDF File

E-ISSN 2582-2160

doi

CrossRef DOI is assigned to each research paper published in our journal.

IJFMR DOI prefix is
10.36948/ijfmr

Downloads

Research Paper Format Copyright Permission Form and Undertaking Form Cover Page Vol 8 Isu 2 Cover Page Vol 8 Isu 1 Cover Page Vol 7 Isu 6

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA

About IJFMR Fees & Payment Current Issue Publication Archive	Submit Research Paper Track Submission Status Publication Guidelines Publication Ethics Peer Review & Plagiarism	Join as a Reviewer Editors & Reviewers Reviewer Referral Program Get Reviewer Membership Certi.	Website/Journal Policies Usage Policy Content Policies Privacy Policy

Contact Us		+91-9687-828-838	editor@ijfmr.com

International Journal For Multidisciplinary Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Effectiveness of combined IRR and MFR technique in a 38 year old female with L4-L5 PIVD: a case report

Share this