Dry needling according to the FRSc concept performed on the cruciate and pelvic ligaments in lower back pain: a case report

Background: Low back pain is a social problem affecting people all over the world, which negatively affects the quality of life of patients. Occurring ailments can be effectively reduced using, among others, manual therapy, osteopathy or physiotherapy. One of the methods of therapy more and more often used by practitioners is dry needling (DN) according to FRSc (Five Regulatory Systems concept).Aim of the study: The aim of the study was to assess the effectiveness of the dry needling (DN) method according to the FRSc concept performed on the cruciate and pelvic ligaments in lower back pain (LBP).Case report: A 55-year-old man with lower back pain was examined. Before and after the therapy, the following tests were performed: the Oswestry Disability Index (ODI) was used to assess functional efficiency, the visual analog scale (VAS) was used for subjective pain sensations, and the range of spinal mobility was measured using the Schober test. During the therapy, 6 DN procedures were performed (twice a week for three weeks). The application included the cruciate and pelvic ligaments. After the applied therapy, there was a significant reduction in pain (VAS by 4 points). The patient also observed an increase in the range of motion of the spine (by 2 cm) and an improvement in the assessment of the degree of disability at the level of 17 points. (ODI).Conclusions:The method of dry needling presented in the work; DN acc. The FRSc concept has been shown to be effective in the treatment of LBP in the short term. The completed therapy significantly reduced pain, increased the range of motion of the spine and improved the patient's functional efficiency.