A 61 year old male presented to a chiropractor with complaints
of severe lumbar pain and stiffness. Upon questioning, it
was revealed that his symptoms originated approximately 40
years earlier after a fall down some stairs. The symptoms
waxed and waned, but overall becoming progressively worse.
About 15 years after the fall, construction work combined
with a severe motor vehicle accident markedly exacerbated
the symptoms of low back pain and stiffness to a reported
ten out of ten subjective pain scale. Those acute symptoms
subsided somewhat over time, but a few years later sciatica
was experienced on the right. About five years prior to presentation,
the patient reported that he was diagnosed with ulcerative
There was an anterior carriage of the head and overall diminished
AP spinal curves. Physical exam revealed markedly reduced
lumbar and moderately reduced range of motions in all planes.
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Introduction to Unknown Cases
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