Low Back Pain following MVA.

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Low Back Pain following MVA

Patient Details:

Ms C  is  a  20  year  old  female  student  presenting  to  the  clinic  with  low  back  pain  following  a  motor  vehicle  accident  5  weeks  prior.   Ms C  collided  into  the  rear  of  another  car  at  approximately  50km/hr.   Immediately  after  the  accident  Ms C  complained  of  neck  pain  which  eventually  subsided  and  low  back  pain  which  persisted  with  no  improvement  with  time.  

Prior  to  the  accident  she  spends  most  of  her  time sitting  at  the desk  but  also   has  quite  an  active  lifestyle  when  not  studying.  She  went  to  the  gym  2  twice  a  week  and  is  a  qualified  aerobics  instructor.  Since  the  accident  however  she  has  been  unable  to  exercise  or  sit  for  long  periods  as  these  activities  seems  to  aggravate  symptoms.  

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The  low  back  pain  was  of  an  aching  quality  at  the   L2-L4  region.    She  finds  relief  from  laying  down  and  resting  after  activity.  Prior  to  the  accident  she  experienced  a  similar  low  back  complaint  after  long  runs  however  not  as  bad.  

X-rays  where  ordered  and  revealed  right  sagittal   facets  at  L5/S1  on  the  right  and  diffuse  scoliosis  to  the  right  in  the  thoracic  and  lumbar  spine.  No  other  significant  bony  or  soft  tissues  abnormalities  was  demonstrated.

Initial  Examination  Findings:

Postural  examination  revealed  an  increase  lumbar  lordosis.  Her  range  of  motion   was   good  in ...

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