Read the following information.

Free OET Writing Sample Test with Answer Subtest Physiotherapy #3


The current date is 15 June 2029. You are a physiotherapist working at Healthwise Rehabilitation Clinic. Mr. James Anderson, a 45-year-old office worker, has been referred to your clinic due to persistent lower back pain.


  • Name: Mr. James Anderson

  • DOB: 20 March 1984 (45 y.o.)

  • Social background: Married, two children

  • Occupation: Office worker

  • General health: Generally good health, non-smoker

Medical history:

  • Lower back pain for the past six months

15 June 2029

Presenting problem: Mr. Anderson is experiencing persistent lower back pain that has been affecting his daily life and work performance for the past six months. He reports discomfort, stiffness, and difficulty in bending or sitting for extended periods.


  • Constant lower back pain, particularly in the lumbar region

  • Stiffness and limited range of motion in the lower back

  • Pain intensifies with prolonged sitting or bending forward

  • Sleep disturbances due to discomfort

Physical Examination:

  • Tenderness and muscle tightness in the lumbar region

  • Reduced range of motion in the lower back, particularly during forward bending

  • No neurological deficits observed

Diagnosis: Chronic non-specific lower back pain

Initial treatment: Develop an individualized treatment plan focusing on pain management, flexibility exercises, posture correction, and ergonomic education.

Writing Task:

Using the provided case notes, write a referral letter to Mr. James Anderson, introducing yourself as his assigned physiotherapist at Healthwise Rehabilitation Clinic. Explain his diagnosis of chronic non-specific lower back pain and outline the initial treatment plan. In your response:

  • Expand the relevant notes into complete sentences.

  • Do not use note form.

  • Use letter format.

  • The body of the letter should be approximately 180–200 words.

Mr. James Anderson 

[Address Line] 

[City, State, ZIP Code] 


15 June 2029


Dear Mr. Anderson,

Re: Introduction and Treatment Plan for Chronic Lower Back Pain

I hope this letter finds you well. My name is [Your Name], and I am pleased to introduce myself as your assigned physiotherapist at Healthwise Rehabilitation Clinic. I understand that you have been experiencing persistent lower back pain, and I am here to assist you on your journey to relief and improved quality of life.

During our initial assessment, you mentioned the presence of constant lower back pain, primarily in the lumbar region, which has been affecting your daily activities and work performance for the past six months. You also described stiffness and difficulty in bending or sitting for extended periods, leading to sleep disturbances due to discomfort.

Upon examination, I observed tenderness and muscle tightness in the lumbar region, along with a reduced range of motion, particularly during forward bending. There were no neurological deficits observed.

Based on our assessment, I have diagnosed you with chronic non-specific lower back pain. Please understand that you are not alone in dealing with this condition, and our goal is to work together to alleviate your discomfort and restore your quality of life.

To initiate your treatment, I have developed an individualized plan tailored to your specific needs. This plan will primarily focus on effective pain management, flexibility exercises to enhance the range of motion in your lower back, posture correction techniques, and education on ergonomics to ensure a supportive work environment.

I want to assure you that our dedicated team at Healthwise Rehabilitation Clinic is committed to providing you with the best care and support throughout your journey to recovery. If you have any questions or concerns at any point, please do not hesitate to reach out to me.

I look forward to partnering with you to help you regain your comfort and mobility. Together, we will work towards a pain-free and active lifestyle.



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