The Paradox of Care: The Journey of Physical Therapists Living with Work-Related Low Back Pain

Abstract

This qualitative study explored the lived experiences of physical therapists with work-related low back pain (LBP) in clinical settings and patient care in San Fernando, La Union. It aimed to describe the physical therapists’ experiences, challenges and coping strategies, utilizing a phenomenological approach guided by (3) frameworks; Precede-Proceed model, Planned Behavior Theory, and Self-determination theory to consider the participant motivational factors, and underlying causes. Data was collected through semi-structured, one-on-one interviews with (8) eight registered physical therapists with work-related LBP and had been actively working in clinical settings for over two months. Findings revealed that physical and emotional strain is a constant aspect of clinical work, contributing to persistent work-related LBP. Despite knowledge of proper body mechanics, participants often prioritize patient care over their own well-being. To manage the condition, participants adopt a combination of ergonomic adjustments, emotional resilience, and social support. The study highlights a conflict between professional responsibilities and self-care among physical therapists. It calls for systemic reforms and supportive workplace environments that prioritize physical therapist health alongside patient care outcomes. By focusing on peer support, wellness programs, proper training, ergonomic workspaces, and further research, the well-being of physical therapists with work-related LBP can be better protected and sustained.