# Physiotherapeutic Approach for Paraparesis Resulting From L2-S1 Disc Bulge Along With Diabetic Neuropathy: A Case Report

## TL;DR

This case report describes a 61-year-old patient with back and nerve issues due to a disc bulge and diabetes, and how a tailored physiotherapy plan improved their mobility and quality of life.

## Contribution

The paper presents a multidisciplinary physiotherapeutic approach for a complex case involving disc bulge and diabetic neuropathy.

## Key findings

- The patient showed improved mobility and reduced pain after a customized treatment plan.
- A multidisciplinary approach was effective in managing musculoskeletal and neurological complications.
- Physical therapy significantly enhanced the patient's functionality and quality of life.

## Abstract

A degenerative disc disease is characterized by osteophytes, disc space reduction, nerve compression and discomfort are all symptoms of disc bulging. Diabetic neuropathy, a condition leading to significant health issues, involves a sensory dysfunction initiating in the lower extremities and progressing to pain. In the present case, a 61-year-old retired physical training teacher came to the hospital with complaints of difficulty in walking, sitting, and standing in the past two years. The patient also complained of a tingling sensation in the upper and lower limbs, low back pain, and body stiffness. The patient has a known case of intervertebral disc prolapse at L2-S1 level, two years back. Patient had a history of diabetes mellitus type 2, hypertension, and hypothyroidism for the past three years. The study delves into the detailed evaluation, customized treatment plan, and rehabilitation strategies employed to meet the patient's condition. It emphasizes the value of a multidisciplinary approach, including physical therapy, in the treatment of complicated musculoskeletal and neurological illnesses, intending to improve the patient's mobility, functionality, and overall quality of life.