50 year old female with 10 years increasing pain in lower back

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Patient has local LBP only, with no radiation into buttocks or legs. Pain increased with flexion or loading but delayed onset pain with over-activity.

Health & Medicine

Interpret Pain Diary
• 50 yo female- 10 years
increasing pain
• Local LBP only (100%)
• No radiation into buttocks
or legs
• Pain increased with
flexion or loading
• VAS 4-8
• Delayed onset pain with
over-activity
• Vibration intolerance
• What’s most likely Dx?

Isolated Disc Resorption
• Characteristic pain with
loading and flexion
• Can get some relief with
extension (loading facets-
offloading discs)
• Vibration intolerance
• Delayed onset pain with
overuse
• Ballistic motions
(sneezing) may aggravate
symptoms

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