A 32-year-old woman presents to the clinic complaining of severe pain in the lower back and right buttock. The pain started 15 days after the C-section delivery. The pain increases during walking, sitting on the buttocks, and standing for a moderate amount of time.
Apart from the C-section delivery, she does not remember any trauma or strenuous activity. Medical history Gestational diabetes mellitus that is controlled with dietary regulations. No history of metabolic bone disease and back or pelvic pain before or during the pregnancy Physical examination Weight: 67 kg Height: 162 cm The lumbosacral region’s range of motion is normal Pain during right lateral bending and extension Mildly tender right para-spinal muscle Laboratory Investigation Normal blood cell count, renal and liver function tests Normal serum levels of calcium, phosphorus, alkaline phosphatase, thyroid hormone, and…
