A 83 Year Old Woman With Back Pain After a Fall
A 83 year old female presents to the urgent care facility after a ground-level mechanical fall with axial back pain. She denies any weakness or numbness in her legs and she denies incontinence. She admits to 10/10 axial back pain.
Tenderness to palpation in rostral lumbar spine without step-off deformity
Cranial nerves II-XII are intact
DTRs – 2+ upper extremities, 2+ lower extremities
Strength- 5/5 upper extremities
5/5 bilateral lower extremities
No Clonus or pathological reflexes.
Normal pinprick sensation and proprioception throughout