•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 flexion
•Can get some relief with extension (loading facets-offloading discs)
•Vibration intolerance
•Delayed onset pain with overuse
•Ballistic motions (sneezing) may aggravate symptoms