•You are trying to predict what symptoms this patient has based upon imaging •21 degree scoliosis- balanced (T12 over S1) •Angular collapse at L5-S1 Right (could he have a foraminal collapse) •Lateral listhesis of L3 on L4 to the right •IDR at L2-3 Left Lateral X-ray [...]
•Pain in anterior thigh with standing, walking •Better with sitting, lying •Awakens at night •Stairs painful but in/out of car OK •Has to lift his L leg by grabbing his pant leg •Crossing legs OK •Patient has prior L5-S1 microdisc Physical Examination [...]
•Pain with standing and increased with hiking downhill •Present for 7 years but increasing in intensity •Relieved with squatting or sitting Degenerative Spondylolisthesis with L Lateral Recess Stenosis. Also IDR L5-S1 Why is [...]
LBP x 5 yrs increasing over time. Pain with flex, load, impact. PFILP and stopped all activities Isolated Disc Resorption No root compression or stenosis so no leg pain
•66 yo male- pain 1 year •Pain in buttocks with standing •Becomes worse the longer he stands •Sitting causes pain relief •Can’t straighten up in AM •Can bicycle all day but can’t stand up straight after a day of riding What Is It? [...]
•40 yo male with intermittent incapacitating LBP (LBA) 2-3x/year •Has “catch” on flexion/extension ROM • No evidence of radiculopathy •Pain does radiate into buttocks when back pain becomes severe •50% LBP 50% upper SI P What Is It? Chronic LBP increasing over years [...]
Red and White Marrow Changes Associated with living at Altitude
Greater Trochanteric Bursitis •Bursa between greater trochanter and Tensor Fascia Lata Tendon •With prolonged inflammation, bursa will calcify •Careful perusal of X-ray can note calcifications
Neurogenic Claudication Symptoms but MRI does not note stenotic canal degenerative spondylolisthesis present Some LRS on L but does not explain no canal stenosis-Neurogenic Claudication Look at Spine Alignment on Sag Films and Facet [...]
What is it? Coronal Standing Collapse R L5-S1 Causing Foraminal Stenosis Note 3 degree L5-S1 angulation with supine films vs. 13 degree collapse with standing Hips look and test normally (DDx) Supine Standing [...]
