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Lower back pain after lifting, (A 66-year-old female retire with a lower back pain.)

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Osteoporosis weakens bones, making them more susceptible to fractures, even from minor trauma.

Common Presentations

  • Acute back pain: This is the most common symptom, often described as sudden and severe, localized to a specific area of the spine.
  • Loss of height: Over time, multiple vertebral fractures can lead to a gradual loss of height and a stooped posture.
  • Kyphosis: This is a forward curvature of the spine, often referred to as a “dowager’s hump.”
  • Chronic back pain: Pre-existing back pain may worsen significantly after a vertebral fracture.
  • Limited range of motion: The patient may experience difficulty bending, twisting, or lifting due to pain and spinal instability.
  • Neurological symptoms: In rare cases, severe fractures can compress the spinal cord or nerves, leading to numbness, weakness, or bowel/bladder dysfunction.

Physical Examination Findings

  • Tenderness to palpation: The patient may have localized tenderness over the affected vertebra.
  • Loss of normal spinal curves: Kyphosis or other spinal deformities may be apparent on inspection.
  • Muscle spasms: The surrounding muscles may be in spasm to protect the injured area.
  • Limited range of motion: The patient may have difficulty bending forward, backward, or sideways.
  • Neurological examination: This should be performed to rule out any neurological complications.

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