Lower Back Pain: A Somewhat Unusual Case

A sixty-something-year-old male comes in with thoracic stiffness and lower back pain. The lower back pain would occur on various motions. He had previously been quite active, living on 3 acres and taking care of his property. He had been involved in a vehicle accident, rear ended, several months previous. His previous chiropractic care and massage had seemed to make him worse rather than better, he would spasm the day after the treatments. The key findings on exam included stiff hips, he couldn’t internally rotate beyond 10 degrees on both sides. He was very rigid throughout the thoracic spine. It was hard to elicit tenderness in the thoracic spine, as his muscles were so tight. His lumbar motion was fairly normal, with some pain at the extremes of motion.