A 76 year old male with a past medical history significant for insulin dependent diabetes mellitus, hypertension, and stage 3 chronic kidney disease presented with mid to low right-sided back pain, exacerbated by lying on his right side. There were no reported lower extremity weaknesses or paresthesias. His musculoskeletal history includes chronic hip pain status post hip fracture. His pain is managed without narcotics. Imaging was performed to evaluate the etiology of his back pain. Please help in the case.
Multiple level degenerative disc disease Bridging osteophytes Correlates with age Scoliosis plus Pain likely to be due to root compression Analgesics Muscle relaxants Calcium vitD Gabapentin will help Lumbosacral corset Physiotherapy
Generalised osteoporosis Scoliosis lumbar spine L 2, 3, 4 region ( may be due to muscle spasm sec. to PID at L3L4 &L4 L5 Calcification of prespinal & paraspinal ligaments L3L4,L5 region Calcification abdominal aorta
Degenerative disease of dorso _ lumbar spine.. some of the pedicle are sclerotic.. please do a MRI STUDY to rule out mets..
lots of ostrophytes.bamnoo spines. lumbo saccral belt for support.
Multilevel osteophyte,disc space reduce Lumber lordosis reduce, muscle spasms may be present on palpation Physiotherapy management is Hot fomanetation,tens, back extension exercise and strengthening .
Basstrup syderome
Thanku for sharing. Please share details /some good link regarding Baastrup s ds
Cases that would interest you
- Login to View the image
F70. Pain both legs with tingling in soles. Pain left thigh with cramps left leg.
Dr. Syam Sundar Patro2 Likes24 Answers - Login to View the image
New Case 72 yr M,Known DM 21 yrs,present FBs118mg/ ,HbA1c 6.8,presented with neck pain for 4 yrs aggravated since 4 months.Neck pain radiating to both side of neck to the occipital larea and both upper limbs Rt > left. Intermittent severe pain and at times he had difficulty in taking his food due to severe rt upper limb pain .Pain is shooting in character radiating down on either side up to RT thumb and left wrist.No difficulty in walking. On exam dulling of sensation C2 , 3,4 5 6 ,7 rt side and c56 on the left side.No long tract signs. What abnormality in the MRI?
Dr. Manorama Rajan3 Likes20 Answers - Login to View the image
57 yr m alcoholic c/o LBA depressive personality nondiabetic nonhypertensive h/o sudden on set of low back pain going down to rt LL pt walks with a limp on rt side dx and Rx
Dr. Shivraj Agarwal0 Like10 Answers - Login to View the image
50 yr old male pt,xray lumber spine, h/o back pain frm 4 months
Dr. Prashant Mishra0 Like10 Answers - Login to View the image
73year old male presented with the low back pain only standing position and waking. Please comment on the case.
Sanjeev Shukla3 Likes9 Answers
1 Like