Chronic low back pain and its differential diagnoses: a case report
DOI:
https://doi.org/10.34119/bjhrv6n1-181Keywords:
chronic low back pain, multiple myeloma, internal medicineAbstract
Low back pain is a common problem which accompanies a large part of the population. It is estimated that up to 84% of adults will have low back pain at some point in their lives. Rarely, low back pain may be the first manifestation of a serious illness. This case report presents the clinical history of a 79 year-old male, with multiple comorbities, including a report of a discal hernia treated by surgery approximately 30 years before presentation, with residual low back pain since then. The pain was progressively worsening, associated with loss of muscle strength and paresthesia in the right lower limb, with significant weight loss. During screening, significant anemia and acute kidney injury with associated hypercalcemia were observed. A spine CT scan revealed a large expansile lesion obliterating the medullary canal at T8/T9 segment. A monoclonal spike in protein electrophoresis was found, along with sparse lytic lesions in long bones leading to the diagnosis of multiple myeloma. Therefore, this report highlights the importance of considering different differential diagnoses as a cause of low back pain. The correct determination of the etiology is essential for adequate clinical management and improvement of the patient's quality of life.
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