Concluded Case

Post-traumatic Locked Facet syndrome

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Concluded answer
The case seems to be traumatic apophysial zoint arthritis. This causes locking of Z- joint at L4-L5 level. The paraspinal muscles are tender and developed trigger points which are the cause of persistent pain. The logaments' sprain though recovered, the imbalance of the muscles are again causing irregular loading to the muscles causing pain. Treatment protocol followed are: core strengthening, facet unlocking, sustained stretching, spinal grade 1-3 mobilization, hot fomentation, US therapy for local tenderness.
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The case seems to be traumatic apophysial zoint arthritis. This causes locking of Z- joint at L4-L5 level. The paraspinal muscles are tender and developed trigger points which are the cause of persistent pain. The ligaments sprain though recovered, the imbalance of the muscles are again causing irregular loading to the muscles causing pain. Treatment protocol followed are: core strengthening, facet unlocking, sustained stretching, spinal grade 1-3 mobilization, hot fomentation, US therapy for local tenderness.
Must be traumatic bony / soft tissue injury. Investigation must
Thank you Dr. There is no history of fracture. May be ligaments sprained. Needs MRI I think. Please guide.
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