If neck pain is affecting your work, sleep, driving or daily activities, book your assessment today and start your personalised recovery programme at PK Physiotherapy.
CASE STUDY: CHRONIC BACK PAIN & SCIATICA
Patient: Sabina
1 The Problem
Sabina, aged 32, attended PK Physiotherapy complaining of increasing neck pain and stiffness that had gradually developed over several weeks. Initially, the discomfort was limited to her neck, but she later began experiencing pain around her shoulder, making everyday activities increasingly uncomfortable.
She found turning her head difficult, particularly after long periods of desk work, and her symptoms were affecting both her work and sleep.
2 Assessment Findings
Following a detailed physiotherapy assessment, it became clear that the problem was not limited to muscular tension alone.
Sabina presented with significant tightness of the cervical paraspinal muscles, upper trapezius and levator scapulae. Clinical examination also suggested irritation of the C5 nerve root, which can commonly refer pain into the shoulder region without necessarily causing severe neurological symptoms. This was consistent with her pattern of pain and clinical findings. There were no red flags requiring further medical investigation.
3 Treatment
Sabina received an individual treatment programme which included:
- Gentle manual therapy to the cervical spine and surrounding soft tissues
- Shockwave Therapy to the upper trapezius muscles
- Laser Therapy
- Passive stretching of the cervical spine and shoulder girdle
- Progressive mobility and strengthening exercises for the neck and shoulder stabilisers
- Postural education and ergonomic advice
- A personalised home exercise programme
4 Outcome
After six physiotherapy sessions, Sabina reported a significant reduction in both pain and stiffness. Her neck movements returned to normal, shoulder pain resolved and she was able to resume all normal daily activities without restriction.
She was discharged with an individual home exercise programme to maintain her progress.
Approximately two months later, Sabina contacted me to provide an update. She reported that her symptoms had almost completely resolved. Occasionally she experiences mild neck stiffness after prolonged desk work or periods of stress, but she now recognises the early signs and simply returns to her stretching and mobility exercises. The stiffness usually settles quickly, allowing her to continue her normal activities without further treatment.






