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Epidural steroid injection at L4-5
13%
9/69
Outpatient physical therapy for the lower back
28%
19/69
Non-weight-bearing of the left lower extremity
32%
22/69
Home exercise program, analgesics, and limited use of muscle relaxants
26%
18/69
Cortisone injection of the left greater trochanter region
0%
0/69
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Although the imaging reveals generalized lumbar spondylosis and stenosis, in particular at L4-5, the MRI scan of the left hip clearly reveals a stress fracture of the femoral neck. Therefore, the treatment of choice is non-weight-bearing of the left lower extremity. During the evaluation of acute back pain, clinicians must include other possibilities within the differential diagnosis that may mimic mechanical axial back pain; thus, potential complications from a missed diagnosis can be avoided.
1.8
(20)
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