Unknown #2

History:

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 colitis.

Clinical/Orthopedic Findings:

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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