ChiroACCESS Article



Diagnostic Imaging Case Report: A 71-year-old male reports chronic low back and hip pain



This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Jack Henry, DC, DACBR

  

Radiology Diagnostics, LLC



Published on

March 27, 2013

Text Size:   (-) Decrease the text size for the main body of this article    (+) Increase the text size for the main body of this article
Share this:  Add to TwitterAdd to DiggAdd to del.icio.usAdd to FacebookAdd to GoogleAdd to LinkedInAdd to MixxAdd to MySpaceAdd to NewsvineAdd to RedditAdd to StumbleUponAdd to Yahoo
Hello.  My name is Jack Henry, DC, DACBR.  I am Radiologist-in-Chief of Radiology Diagnostics, LLC, an industry leader of Chiropractic Radiology Services and Digitized Spinographic analyses.  All of our services are provided at no cost to doctor and  no/low cost to patients.

Selected cases will be presented for your evaluation.  The studies may or may not have abnormalities.  Use the arrow keys or the scroll bar to carefully evaluate the films.

Step 1:  Is the study abnormal or normal?

Step 2:  If the study is abnormal, what is your best diagnosis?

Step 3:  Which follow-up imaging option would be best?

Step 4:  Compare your results with the correct diagnosis.


HISTORY

A 71-year-old male reports chronic low back and hip pain. No history of recent trauma was reported. Physical exam findings were not provided at the time of formal image interpretation.







FINDINGS

The study is negative for acute fracture or dislocation. Moderate to marked DDD and DJD noted throughout the lumbar spine. A Schmorl’s node is present at the L1 disc level. Hip arthrosis is seen bilaterally more so on the left. The left femoral capitis and neck appears somewhat broad based and foreshortened secondary to previous injury. More importantly, note the large generalized AAA measuring approximately 5.1 cm at the L3 disc level.


DISCUSSION

Remember, not all back pain is mechanical in nature. Chiropractors must always be cognizant of other considerations.


FOLLOW UP PROTOCOL

A CT evaluation is recommended as an initial follow up.
Share this:  Add to TwitterAdd to DiggAdd to del.icio.usAdd to FacebookAdd to GoogleAdd to LinkedInAdd to MixxAdd to MySpaceAdd to NewsvineAdd to RedditAdd to StumbleUponAdd to Yahoo


1 Comment on:

Diagnostic Imaging Case Report: A 71-year-old male reports chronic low back and hip pain

Discuss this article in the ChiroACCESS Forums
ChiroACCESS Forums

Re:Diagnostic Imaging Case Report: A 71-year-old male reports chronic low back and hip pain


by shawnanderson   (5/16/2014 2:25:32 AM)
I have read the steps, you have mentioned in the article. These are the correct steps. If you want to minimize these steps, then use Quantitative Sensory Test. QST is a valuable method to diagnose  various diseases such as Diabetes and CRPS, chronic pain and pain related to various diseases.
It is a pain-free technique to detection for  patients with peripheral sensory disorders and other pain related problem.