A 52-year-old male presented with low back pain for 2 years without radiation or neurological symptoms. On examination, he had tenderness over the L4-L5 facet joints bilaterally but normal strength, tone and reflexes. A bone scan showed evidence of osteoblastic bilaterally active facet arthritis between L4-L5 vertebrae greater on the left side with degenerative end plate changes.
2. Clinical features-
52 yr old male , came with
C/o low backache for 2 years,
No h/o pain radiating
No h/o paraesthesia
No h/o neurogenic claudication
3. On Examination-
Local tenderness present both side L4-L5 facet joint
Faber test absent
SLRT- absent
Bulk normal
Tone normal
No deficits
5. BONE SCAN- EVIDENCE OF OSTEOBLASTICALLY ACTIVE BILATERAL
FACET ARTHRITIS OF L4/L5 VERTEBRAE (L>R) WITH END PLATE
DEGENERATIVE AND ARTHRTIC CHANGES IN ABOVE MENTIONED
SITES IN SKELETON.