Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Monday, June 24, 2019
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:

ICL Home


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 25292
Title Metastatic cancer of the thoracic and lumbar spine presenting as mid- and low back pain in a long distance runner [case report]
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112066/?report=classic
Journal J Chiropr Med. 2018 Jun;17(2):121-127
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: The purpose of this case study is to describe the presentation of a patient with persistent back pain and a history of carcinoma.

Clinical Features: A 50-year-old female runner presented to a chiropractic office with persistent moderate low back and mid-back pain. She had a history of breast carcinoma. She had no positive neurologic signs or symptoms suggestive of radiculopathy. She denied any other health symptoms and received mild relief with only 1 office visit consisting of spinal manipulation, moist heat, and electrical stimulation. Although the patient experienced some pain relief after her chiropractic treatment, she continued to experience persistent mild pain in the thoracolumbar area.

Intervention and Outcome: Because of the patient’s lingering back pain, she was referred for lumbar spine radiographs. On evaluation of the radiographs, a missing right L3 pedicle was seen. A subsequent computed tomography scan of the lumbar spine revealed marked metastatic changes to the lower thoracic and upper lumbar spine. The patient was immediately referred to her oncologist. The metastatic changes had progressed to her liver, and she succumbed to the disease 6 months later.

Conclusion: This case highlights the importance of patient health history and further investigation of the red flag of persistent pain in patients with a history of carcinoma.

Author keywords: Breast Neoplasms; Neoplasm Metastasis; Chiropractic; Diagnostic Imaging

Author affiliation: 

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record


 

      Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips