Tag Archives: back pain
Axial computed tomography of the abdomen/pelvis following intravenous contrast showing no evidence of paraspinal muscle pathology but an incidental finding of left greater than right quadratus lumborum muscle asymmetry.

An Uncommon Cause of Low Back Pain

A 21-year-old active duty Air Force male without past medical history presented to our Emergency Department with low back pain. The patient had been performing general resistance strength training, including specific exercises focusing on the low back region, for about 2 months. A few hours after a workout session, he developed acute pain to the […]

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Diuretic Use and Risk of Vertebral Fracture in Women

  Vertebral fracture is the most common type of osteoporotic fracture. While thiazide diuretics, which are commonly prescribed for the treatment of hypertension, decrease calciuria, they may also induce hyponatremia, which has been associated with increased vertebral fracture risk. Loop diuretics increase calciuria, which would reduce bone mineral density and increase vertebral fracture risk, but […]

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An Evidence-Based Approach to Differentiating the Cause of Shoulder and Cervical Spine Pain

  Differentiating the cause of pain and dysfunction due to cervical spine and shoulder pathology presents a difficult clinical challenge in many patients. Furthermore, the anatomic region reported to be painful may mislead the practitioner. Successfully treating these patients requires a careful and complete history and physical examination with appropriate provocative maneuvers. An evidence-based selection […]

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Acetaminophen in the Management of Acute and Subacute Low Back and Neck Pain

Nonspecific low back pain affects most people at some time in their lives. Although it is frequently short-lived, it accounts for a disproportionate number of healthcare encounters and is a major cause of lost time from work. Acetaminophen is commonly the first-line analgesic prescribed and is recommended in most clinical practice guidelines. Despite this, there […]

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Computed tomography scan of abdomen. A, Retroperitoneal abscess involving the iliopsoas (arrows) containing free air (arrowhead) was observed in the axial plane. B, Retroperitoneal abscess involving the iliopsoas (arrows) was observed in the sagittal plane.

Back Pain After Sudden Onset of Abdominal Pain in Crohn’s Disease Patient

In November 2014, a 33-year-old man presented to the Chiba University Hospital with a sudden onset of right lower abdominal pain spreading to the right lower back, developing 10 hours after gross bleeding. He had been receiving anti-tumor necrosis factor therapy for 10 years for mild to moderate Crohn’s disease with no fever. On examination, […]

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This unenhanced axial computed tomography (CT) image of the pelvis showed multiple lytic bone lesions with fluid-fluid levels (arrows).

Her Aching Bones: Atypical Parathyroid Adenoma

A radiologic investigation of lower back pain captured something unusual: multiple osteolytic lesions with fluid-fluid levels. The patient was a 34-year-old Portuguese woman of Romani ethnicity. Previously healthy, she presented to our emergency department with a 6-month history of lumbar pain. Her medical history was unremarkable aside from 2 cesarean sections and a bilateral tubal […]

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