Conversation: The conversation between human and AI assistant.
[|Human|] hi, I m a physiotherapist treating a patient for lower back pain when running. He recently found out he has a thornwaldt cyst. He also presents with sudden large twitching of his body which I predict it originates from his lower Tx spine as that is where the greatest contraction of the muscle occurs- been occuring for about a year and only occurs when he is relaxed. his back pain is present for about 3years
[|AI|]  Hi, Thank you for providing the brief history. As mentioned, the patient is having a low back pain, first needs to undergo an MRI as it will provide the insight to the soft tissue injuries. Also, by doing TENS therapy and ultrasound the pain can be under control. Post that doing regular core stability, pelvic floor and spine strengthening exercises will put a weightage to the recovery of the patient. Performing regular breathing exercises will help to improve the capacity of lungs, and also it will help to improve the cellular physiology of the muscles. As you need to figure out what is the pathomechanics of the spine for this patient, usually pain in the back can be of varieties of possibilities and needs to be ruled out before implementation of the exercises. With the grace of god I wish for good recovery.