Diagnosis and treatment difficulties in the case of a patient with chronic Low Back Pain

• Main Author: Adriana Lupu
• Format: Article
• Language: English
• Published: Romanian Association of Balneology, Editura Balneara 2017-12-01
• Series: Balneo Research Journal
• Subjects: Low Back Pain
• Online Access: http://bioclima.ro/Balneo160.pdf
• ISSN: 2069-7597; 2069-7619

Several definitions of the case study have been formulated over time, but in the following we will quote a definition that we consider appropriate for the clinical case that we will present, namely: "Case study is a method of direct confrontation of participants with a real, genuine situation, taken as a typical example, representative of a set of problematic situations and events that require a diagnosis and decision ". In reference to this definition, we emphasize that the importance of case presentations in medical practice is unquestionable as it brings to the attention of physicians other new or unusual, particular pathological conditions, difficulties or diagnostic errors, atypical clinical developments or unexpected treatment responses. The purpose of presenting this clinical case is to draw an alarm signal on the simplistic way in which the disease is still being addressed and not the patient in its entirety and to stimulate young doctors to review their own schemes and algorithms of clinical judgment. Particularities of the case to be presented are that the patient under investigation has about 10 months of intense hyper-lobular hyperplastic seizures with atypical development and, although presented to many specialists, the multiple co-morbidities of the patient have hampered the formulation of a diagnosis of certainty. Consequently, no adequate treatment has been established during this period to reduce its pain, so the patient's confidence in the medical act is now seriously altered.