RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57676312
T1 Chapter 99. Back Pain
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57676312
RD 2024/04/16
AB A  60-year-old  woman  presents  with  chronic  low  back  pain  that  began  many  years  ago.  Her  back  pain  waxes  and  wanes  and  she  has  taken  acetaminophen  and  ibuprofen  with  some  relief.  About  3  months  ago,  she  began  to  have  daily  pain.  She  recalls  no  trauma.  Her  examination  is  unremarkable  other  than  some  decreased  flexion.  Straight  leg  raise  test  is  negative.  As  the  patient  is  older  than  55  years  of  age,  radiographs  are  ordered  and  they  demonstrate  degenerative  changes  in  her  lumbar  spine  (Figure  99-1).  She  is  started  on  scheduled  acetaminophen  and  ibuprofen  along  with  an  exercise  program.