This document presents a case study of a 65-year-old man with spinal cord injury who experiences orthostatic hypotension. It defines orthostatic hypotension and describes the physiology and pathophysiology underlying it. The case study details the patient's history, examination findings, and clinical diagnosis of C4 quadriplegia. His treatment included progressive ambulation and positioning to prevent further episodes of orthostatic hypotension. Medical management and physiotherapy techniques are outlined to address orthostatic hypotension in spinal cord injured patients.