She Lived With Back Pain for 20 Years. Here's What Changed.

Carla came to her initial evaluation after being referred by her physician, Dr. Manuel Ramírez, MD, a spine surgeon. She arrived with 20 years of lower back pain. Her condition worsened after a fall while skating. Since then she had difficulty getting up, bending down, and moving without pain. She had tried weight training and daily home routines, but nothing resolved the problem. Pain had become part of everything she did. Using gym machines caused sharp discomfort. Sitting for long periods did too. Every morning was difficult. She tried other health providers, but left one session in tears from the pain they caused her.

Her physician specifically recommended she work with our team at FISIOPR. At her first evaluation, suboptimal movement patterns were identified along with symptoms consistent with lumbar stenosis and functional hip weakness. Carla wanted to stay active. She had a home gym and the discipline to use it. She just needed a plan that made sense for her situation. Our team proposed a 12-week functional reconditioning program built around the equipment she already had. Exercises were modified to avoid impact and movements that significantly aggravated her back.

Follow-up was structured from the start. FISIOPR programmed each week through the app, reviewed videos Carla recorded, and made adjustments based on her progress. Calls were scheduled every two weeks to evaluate how she was doing. Her work with her chiropractor was also integrated into the plan. During that time Carla began to notice changes. Pain stopped limiting her when she got up in the morning. She was able to walk in heels again. She still felt some discomfort, but not like before.

In the middle of the process she had a setback and needed immediate attention. FISIOPR coordinated a fast appointment through our provider network. She did not have to make dozens of calls or wait. Our team handled it. That is also part of the work — being available when things do not go as planned. Today Carla exercises regularly, knows which exercises to do when she feels discomfort, and more importantly, knows exactly who to call when she needs help.

Carla completed her 12-week program with FISIOPR. It did not interfere with her clinical treatment. It complemented what she was already doing. FISIOPR gave her safe exercises, daily text monitoring, and structured video calls every two weeks. Carla was not left alone with a list of recommendations. She had a functional, human support system. Carla eventually had back surgery. FISIOPR was there every step of the way.

FISIOPR programs are designed for people who want to get better and have moved past the acute stage. People who need structure, follow-through, and someone who knows what to do day after day. They adapt to each person's context.

This is one of the many cases we want to serve. FISIOPR wants to impact 100,000 lives. Help us keep making a difference in our community.