Work

What is the pain source? A case report of a patient with low back pain and bilateral hip osteonecrosis.

Year: 2015

Type: article

Abstract: BACKGROUND: Low back pain is a common symptom arising from many possible sources and includes the possibility of the contribution of remote pathology. This report describes a patient with bilateral osteonecrosis of the femoral heads presenting with a primary symptom of low back pain. CASE PRESENTATION: A 37-year-old male presented for evaluation of dominant pain that existed for approximately 6-12 months and was located in the right low back. Milder pain was also reported in the right hip. Low back and hip pain were both aggravated by weight-bearing activities. An evidence-based diagnostic evaluation revealed little indication for a primary pain source originating from low back structures. Radiographs revealed bilateral osteonecrosis with evidence of left femoral head collapse. CONCLUSION: Hip osteonecrosis may have contributed to an atypical presentation of low back pain due to aberrant localization of pain and/or combined with altered biomechanical loading of musculoskeletal structures.

Source: Europe PMC (PubMed Central)

Authors: Amy L Minkalis, Robert D Vining

Institution: Palmer College of Chiropractic

Language: English

Topic: Bone and Joint Diseases

Subfield: Orthopedics and Sports Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funders: National Institutes of Health, National Center for Complementary and Integrative Health

Awards: RENOVATION OF PALMER CENTER FOR CHIROPRACTIC RESEARCH, Developmental Center for Clinical and Translational Science in Chiropractic