A 70-year-old male comes with a referral to your clinic for the treatment of severe lower back pain. The patient reports that the pain started when he went on a road trip with his family. He further complains that when the pain is at its worst, he is not even able to stand or carry on his daily activities. Physical examination Upon observing the patient’s posture, you understand that the patient is having trouble standing in an upright position for a long time due to excruciating pain in the lumbar spine. Medical evaluation You examine the MRI and CT and conclude that lumbar and thoracic spines are negative.
While examining the patient, you come to know that the Lumbar range of motion (ROM) is limited in all planes. The abdominal strength of the patient is substantially limited (3/5). ROM and lower extremity strength of the patient is normal. Visual analog scale (VAS) is 10/10. …