WEEK 9 CASE STUDY: IHUMAN CLASS 6531 : BACK PAIN IN A 66-YEAR-OLD WOMAN | UPDATED 2025/2026 GUIDE TO ACE YOUR EXAM low back pain in a 66-year-old female with osteoporosis: case study and managementCase Introduction: Back Pain in a 66-Year-Old Woman The patient is a 66-year-old woman who presents with lower back pain that has developed over the past few weeks. She reports a dull, aching discomfort localized in the lumbar region, occasionally sharp with bending or twisting. The pain is aggravated by physical activity, such as lifting or prolonged standing, and partially relieved by rest and over-the-counter analgesics. :er past medical history is notable for osteoporosis and hypertension, placing her at increased risk for vertebral compression fractures. She denies significant trauma, bowel or bladder incontinence, or systemic symptoms such as fever or unexplained weight loss. Physical examination reveals tenderness over the lumbar vertebrae, paraspinal muscle spasm, decreased lumbar flexion, and a positive straight-leg raise at 45, suggesting possible nerve root involvement. Given her age, medical history, and presenting symptoms, the differential diagnosis includes lumbar strain, degenerative disc disease, spinal stenosis, herniated disc, and osteoporotic vertebral compression fracture. The case emphasizes careful assessment to identify potential red flags, optimize