Low Back Pain in a Young Adult: A Case of Bertolotti Syndrome

2018 ◽  
Vol 4 (3) ◽  
pp. 110-111
Author(s):  
Kashinath Bangar ◽  
Nivedita Page ◽  
Varsha S Kurhade
Keyword(s):  
2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Wangshu Yuan ◽  
Jianxiong Shen ◽  
Lixia Chen ◽  
Hai Wang ◽  
Keyi Yu ◽  
...  

Study design. Retrospective characterization of nonspecific low back pain (NSLBP) in young adult female patients with and without lumbar scoliosis. Background. There is no consensus as to whether NSLBP in scoliosis patients is related to scoliosis per se or is just a normal symptom that could happen in anyone. Objectives. The aim of this study was to compare the differences in NSLBP between young adult female patients with and without lumbar scoliosis and to provide a theoretical basis for differential treatment of NSLBP in patients with and without lumbar scoliosis. Methods. Ninety female young adults with NSLBP were divided into scoliosis and nonscoliosis groups. Characteristics of pain, lumbar mobility, muscle strength, Cobb angle, axial trunk rotation (ATR) angle, and surface electromyography (SEMG) signal were compared between the two groups. Results. The pain location in scoliotic patients was more concentrated on the left side of the lumbar spine (P≤0.001). The area affected by pain (P=0.028) and the numerical pain rating scale (NPRS) scores (P=0.014) of scoliotic patients were less than those of nonscoliotic patients. The difference between side-bending in scoliotic patients was greater than that in nonscoliotic patients (P=0.001). Scoliotic patients exhibited a significantly better ability for flexion (P=0.001) and extension (P=0.017) than nonscoliotic patients. The posterior muscles in scoliotic patients were stronger than those in nonscoliotic patients (P=0.014). The ratio of root-mean-square (RMS) on paraspinal muscles in scoliotic patients was greater than that in nonscoliotic patients (P≤0.001). Scoliotic patients exhibited greater relaxation time during the flexion-relaxation phenomenon (FRP) than nonscoliotic patients (P=0.024). Conclusions. The characteristics of NSLBP experienced by patients with lumbar scoliosis were distinct from those of NSLBP experienced by nonscoliotic patients. The treatment of NSLBP in scoliotic patients should be different from that in nonscoliotic patients.


SANAMED ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. 161-166
Author(s):  
Svetoslav Kalevski ◽  
Dimiter Haritonov ◽  
Nikolay Peev ◽  
Evgenia Alevska

2021 ◽  
Vol 16 (2) ◽  
pp. 73-77
Author(s):  
Chia Chee Chew ◽  
Ju Juen Chin ◽  
Wan Hazabbah Wan Hitam ◽  
Mei Fong Chong ◽  
Liza-Sharmini Ahmad Tajudin

Background: A diagnosis of ankylosing spondylitis (AS) is challenging and often delayed despitebpatients being symptomatic. Low back pain is the most common initial symptom, appearing in the second and third decades of life. Acute anterior uveitis (AAU) occurs much later in the course of the disease, often when the destruction of the spine is already debilitating. Objective: Here, we report three cases of AS that were diagnosed after the patients developed AAU. Methods: A case series illustrated AAU leading to the diagnosis of AS years after the initial episode of low back pain. A comparison of the clinical presentation, diagnosis, and outcomes was also illustrated. Result: We report three cases of acute anterior uveitis (AAU)-associated AS diagnosed only after many visits to the primary health care provider with the complaint of chronic low back pain. All three patients had irreversible radiological changes upon diagnosis of AS. The AAU resolved with topical steroids, and one patient developed cataract. Conclusion: A high index of suspicion of AS in a young adult with chronic back pain before the development of AAU may prevent further functional loss and provide a better prognosis. Diagnosis of AS following AAU is not only associated with dependency but also may rob the vision of a young adult.


Author(s):  
Mehmet Secer ◽  
Arikan Osman Nacar ◽  
M. Johongir Muradov ◽  
Fatih Altintoprak ◽  
Baris Kabali ◽  
...  

2011 ◽  
Vol 5 (S1) ◽  
pp. 228-228
Author(s):  
S.A. Nica ◽  
G. Mologhianu ◽  
B.I. Mitoiu ◽  
L.S. Miron ◽  
A.I. Murgu

2016 ◽  
Vol 16 (5) ◽  
pp. e321-e322 ◽  
Author(s):  
Mustafa Kemal Demir ◽  
Baran Yılmaz ◽  
Zafer Orkun Toktaş ◽  
Akın Akakın ◽  
Murat Şakir Ekşi ◽  
...  

2021 ◽  
Author(s):  
Komakech Richard Lukecha ◽  
Erem Geoffrey ◽  
Mubuuke A. Gonzaga ◽  
Bugeza Sam

Abstract Back ground: Studies on MRI findings among patients with LBP have been conducted; especially among adolescents and young adult population in developed countries. However, MRI lumber spine evaluation findings in young adult patients with low back pain in Uganda is not known. The purpose of this study was to determine the MRI findings and their correlation to clinical features in young adult patients with low back pain in Nsambya hospitalMethods: This was a descriptive cross sectional study. One hundred and fifty-seven patients with low back pain in the 18 - 39year age group underwent MRI lumbar spine evaluation. The MRI changes in the lumbar spine and correlation to clinical features were determined. Correlation was assessed by Pearson chi square tests (Fisher’s exact test) and p-values reported at 0.05 level of significance. Results: Of the 157 patients 129 (82.2%) had severe pain, whereas ninety (57.3%) had pain that had lasted more than 10 weeks. Sixty-five (41.4%) patients were found to have MRI evidence of disc desiccation, majority (61%) of whom had multiple level disease, mostly involving the lowest 2 disc levels. Facet joint arthropathy (47.8%), marginal osteophyte (31.8%) and disc contour irregularity [disc bulge] (31.2%) were other common MRI features seen. There was an association between duration of pain and limb weakness, and development of marginal osteophytes. There was also association between clinical presentation and disc bulge. Conclusions: The MRI finding of disc degeneration among young adult patients with LBP is higher than reported. Age and pain distribution are predictors of developing disc desiccation.


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