On examination she had a forward stooped posture and her ability to straighten was limited by her back pain. Her diagnosis was osteoporosis induced facet joint arthropathy of the lumbar spine. Her treatment was gentle mobilisations of the thoracic and lumbar spine with my foot on the floor. She was taught the first phase of Sarah Key's exercises and was asked to call me in a week to let me know how she got on. I'm pleased to say that both her mobility and the pain had notably improved. She was advised to continue her exercises daily and after three months she has seen further mobility improvement.