•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
Use Your Disc Measurements!
Note the L4-5 disc should be the thickest disc in the body- here it is significantly less than L3-4.
L5-S1 disc should be about 12mm height
Degenerative Disc Disease L4-S1
Buttocks Pain is Sclerotomal Pain- Not Radiculopathy