Case 18: Back Pain and Breathing After Trauma

Presentation

A client presented with persistent back pain six months after a serious car accident. They had spent the months since then in a long hospital and rehabilitation recovery. The back pain felt unusual to them and hadn’t been explained.

AI-generated illustration of a clinician with a hand resting on the side of a seated man's lower ribs, observing his breathing
AI-generated illustration. Not the client in this case.

Assessment

Their breathing pattern appeared irregular, and movement of the lower ribs on the left side seemed restricted during breathing out. Given their history and these breathing observations, they were advised to see their medical team for further review.

Approach

Alongside that medical follow-up, sessions focused on breathing mechanics and rib mobility.

What was observed and reported

Their breathing pattern appeared steadier over the sessions, and they reported that the back pain had eased.

Reflection

After major trauma, pain doesn’t always show up where you’d expect. This case is a reminder that breathing and rib movement can be worth including in a movement assessment when back pain is persistent and unexplained.

Any change in breathing after an accident or injury must be assessed by a doctor first. Seek urgent care for shortness of breath, chest pain or coughing up blood.

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Clinical reflection disclaimer: This case documents a clinical observation from my practice as an exercise scientist and remedial massage therapist. It is intended for professional education and reflection only. Individual results vary significantly and cannot be predicted. Outcomes may reflect natural recovery, medical care or other factors beyond the care provided. This is not medical advice, diagnosis or treatment recommendation. All cases are de-identified and shared with client consent. I do not diagnose, treat or cure medical conditions. For medical concerns, please consult a qualified healthcare practitioner.
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