Muscle stiffness refers to a sensation of muscle tightness makes it challenging to move. Muscle stiffness may occur after overuse of a particular muscle. Multifidus to be 1.5 times stiffer than Erector spinae in the Lumbar region the accurate modulation of lumbar erector spinae muscle stiffness is unclear but while adopted the different sitting and upright standing posture.The main purpose of this case study is to explore physiotherapy interventions for a subject with Lumbar region stiffness.Myofascial Release and Cryotherapy (supplimentry)for the improvement of the Range of motion and to increase flexibility which are restricted by stiffness.A38 years old woman had whole Lumbar region limited ROM and had difficulty to perform ADLs .She is unable to do forward bending and standing position. Investigations and Special test of Lumbar confirms the diagnose of stiffness of Paraspinal muscles of Lumbar region . Total 21days Physiotherapy session with precautions given to the subject in which we provide the Soft tissue mobilization and Myofascial Release Technique for relieving the stiffness. We also include supplimentry that is Cryotherapy for reducing the soreness comes after the MFR. The following 21days Physiotherapy management protocol improved the Range of motion of the subject and relieve in the stiffness in the Lumbar region, subject was able to perform the ADLs with minimal discomfort.we gave some instructions to subject to perform home exercise independently. This case report is consistent with recent studies and on the base of the result that demonstrate Myofascial Release Technique with supplementary Cryotherapy are significant effective for people with stiffness in Lumbar region. After completing the management protocol, their marked improvement in the ROM and Flexibility.

Myofascial release, Para spinal Muscles, Cryotherapy, Stiffness.