{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:14:03Z","timestamp":1788156843122,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 21\u2010year\u2010old woman with dysmenorrhea, mechanical low back pain, early lumbar spondylosis, heavy menstrual bleeding, and anemia received 4\u2009weeks of multimodal physiotherapy. Pain and function improved, but heavy bleeding created diagnostic uncertainty; menstrual flow and hemoglobin changes were interpreted cautiously and not attributed to physiotherapy alone.<\/jats:p>","DOI":"10.1002\/ccr3.73215","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T03:28:07Z","timestamp":1784863687000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multimodal Physical Therapy Management of Dysmenorrhea With Coexisting Mechanical Low Back Pain and Early Degenerative Lumbar Spondylosis: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2618-4461","authenticated-orcid":false,"given":"Nadia Afrin","family":"Urme","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Bangladesh Health Professions Institute, CRP  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asma","family":"Islam","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Bangladesh Health Professions Institute, CRP  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiha","family":"Alam","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Bangladesh Health Professions Institute, CRP  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1704-2686","authenticated-orcid":false,"given":"Md Rifat","family":"Haidar","sequence":"additional","affiliation":[{"name":"International Centre for Diarrheal Disease Research, Bangladesh (Icddr,b)  Dhaka\u2010 Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Waliul","family":"Islam","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Bangladesh Health Professions Institute, CRP  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranu","family":"Islam","sequence":"additional","affiliation":[{"name":"Dhaka College of Physiotherapy  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9473-7970","authenticated-orcid":false,"given":"Polok","family":"Halder","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Jashore University of Science &amp; Technology  Jashore Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmv039"},{"issue":"2","key":"e_1_2_13_3_1","first-page":"164","article-title":"Dysmenorrhea","volume":"104","author":"McKenna K. 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