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Originally Posted by DocIllinois
At first glance, he's 45 y.o., for pete's sake. Spinal joints are beginning a normal process of degeneration, especially after a lifetime of heavy duty physical stuff.
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This is of course the most likely etiology for low back pain in this demographic. Part of the reason for the scenario is that this is a common thing medics see all the time, but there are some things you don't want to miss....
Quote:
Originally Posted by DocIllinois
But...
Has this ever happened before?
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The patient has had lower back pain before. "he's 45 y.o., for pete's sake."
But now that you mention it this seems different....
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Originally Posted by DocIllinois
Is there any position or action that makes the pain worse?
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Flexion is more painful than extension, but no position brings total relief.
Quote:
Originally Posted by DocIllinois
Any trouble urinating (blood in urine, painful micturition)?
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Negative.