Abstract

Patient concerns: A 49-year-old woman diagnosed with scoliosis of T-L spine before came to the rehabilitation department OPD at our hospital due to suffering Chronic left hip pain and low back pain lasting for one to two years. The patient reported pain in the right knee and left hip, with a noticeable pulling sensation. The pain often occurs after prolonged standing or upon waking in the morning. The patient was diagnosed with facet joint syndrome at L4/5 after the whole body bone scan and the Single-photon emission computed tomography examinations. Scoliosis of T-L spine and erosion change of both sacroiliac joints were also diagnosed after evaluating X-ray examination at pelvic and lower limbs. Interferential therapy and low power laser were performed at lumbar and sacroiliac joints.

Lessons: The association between facet joint syndrome and lower back pain should be recognized regardless of the patient’s age.

Keywords

ankylosing spondylitis, symptoms; quality of life, productivity at work, autoimmune diseases