S1:

Patient reports muscle stiffness at her lower back and shoulders.

S2:

Expresses that she feels tension headaches happening frequently.

S3:

Notes stress and anxiety from work situations.

O1:

Patient appears visibly tense.

O2:

Muscles are taut at the mentioned problem areas during touch examination.

O3:

Patient's posture is slouched.

A1:

Patient displays symptoms of chronic muscle tension.

A2:

Stress and anxiety seem to be contributing factors.

P1:

Commence deep tissue Massage Therapy.

P2:

Suggest stretches and yoga to supplement therapy, improve posture.

P3:

Advise regular follow-up sessions.