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CASE REPORT
Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 49-51

Sacroiliac joint arthropathy masquerading as lumbar canal stenosis


Daradia Pain Hospital, Kolkata, West Bengal, India

Correspondence Address:
Shalina Chandran
Artech Kalyani, Vazhuthacaud, Thiruvananthapuram - 695 010, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0128

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Low back pain (LBP) is one of the most common chronic pain conditions which can arise from any of many potential pain generators. A thorough history, clinical examination, and investigations can give clues about the source, but ultimately, it is clinched by diagnostic interventions. Our case report is of a 70-year-old man who presented with complaints of LBP with symptoms of neurogenic claudication. Examination suggested sacroiliac joint involvement, however, the magnetic resonance imaging pointed to lumbar canal stenosis. Respecting the clinical findings, it was decided to proceed with diagnostic blocks of S1, 2, and 3 followings which the patient had excellent pain relief. We would like this to be a reminder of the importance of diagnostic blocks in identifying the pain generator and also of not relying solely on radiological findings.


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