•Pain onset 4 weeks ago after Cross-Fit •LBP radiates down LLE to bottom of foot (8-10 VAS) •30% LBP, 70% LLE P •Increased with flexion, better with extension •Feels like gait is limited in LLE •“Scrunched-up” sock with tight “rubber bands” feeling under L foot •Harder to go upstairs with R leg [...]
•Lower low back pain (4-8 with standing, no pain with supine position) •3 prior operations at L4-5 without improvement •Also has pain in (3-7) midthoracic spine with standing •Relieved by lying down •Note there is no percentage of LBP vs leg pain Patient has had 3 [...]
•50 yo female- 10 years increasing pain •Local LBP only (100%) •No radiation into buttocks or legs •Pain increased with flexion or loading •VAS 4-8 •Delayed onset pain with over-activity •Vibration intolerance •What’s most likely Dx? Isolated Disc Resorption •Characteristic pain with loading and [...]
Sacral Fracture Note fragmentation of distal sacrum with angulation of coccyx Note angular displacement of distal sacrum
History Note significant disc degenerative changes Has LBP increasing toward EOD working in lumbar yard Carefully look at pain diagram-VAS pain is 3-4 Is that enough pain to have patient in office for degenerative disc diagnosis? Ask him if he would be [...]
