History

Catherine is a 39 yr old business consultant who injured her back when emptying the dishwasher in 2008.  She has suffered 3 years of persistent right low back and right leg pain. The intensity of her pain was commonly 7/10 NRS and worsened by bending, sitting, home activities and gardening.

Catherine was able to flex to the knees only, when supporting her trunk weight with her hands. She had impulse pain but no neurological signs. Her range of lumbar extension was 50%. She was acutely tender to palpate over the low lumbar spine. Straight leg raise were bilaterally 80 degrees with no sensitisation.

Chiropractic manipulation and physiotherapy was of no lasting benefit.  She was not considered a surgical candidate by her medical team.

Diagnosis

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