Hubert (43 years old)

Hubert is a 43-year-old carpenter who has been treated for low back pain for the last 3 months. He experienced similar pain twice in the past, although with faster resolution.

Two months ago, the X-ray examination revealed numerous degenerative changes. He started taking topical and oral non-steroidal anti-inflammatory drugs (NSAIDs), and received several manual therapy sessions (massage), all with limited results.

In his medical records, the following is noted:

• Not smoking, moderate alcohol consumption
• Normal weight (BMI: 24.5)
• Normal work activity despite past ailments
• Physical examination: no radiculopathy or progressive motor weakness

Hubert visits your clinic as he worries that if the pain continues, it may jeopardise his work.