Comprehensive I Human Case 55-Year-Old Male with Back
Pain Week #9
The Week 9 i-Human case study focuses on a 55-year-old male presenting with back pain, most
consistent with mechanical causes such as muscular strain or postural imbalance. The case
emphasizes careful history-taking, ruling out red flags, and conservative management rather than
immediate imaging.
Case Overview
• Patient: 55-year-old male
• Chief Complaint: back pain, dull and non-radiating
• Onset: Gradual over one week, no trauma or excessive strain
• Aggravating Factors: Prolonged sitting
• Relieving Factors: Walking, stretching
• Associated Symptoms: None (no numbness, tingling, weakness, bowel/bladder dysfunction, fever, or
weight loss)
,Physical Examination Findings
• General: Mild discomfort when rising from sitting, normal ambulation
• Inspection: No deformity, swelling, or bruising
• Palpation: Tenderness over paraspinal muscles, vertebral column non-tender
• Range of Motion: Limited lumbar flexion, normal extension/lateral movement
• Neurological Exam: Normal reflexes, strength, sensation; negative straight leg raise (rules out
radiculopathy)
,
Pain Week #9
The Week 9 i-Human case study focuses on a 55-year-old male presenting with back pain, most
consistent with mechanical causes such as muscular strain or postural imbalance. The case
emphasizes careful history-taking, ruling out red flags, and conservative management rather than
immediate imaging.
Case Overview
• Patient: 55-year-old male
• Chief Complaint: back pain, dull and non-radiating
• Onset: Gradual over one week, no trauma or excessive strain
• Aggravating Factors: Prolonged sitting
• Relieving Factors: Walking, stretching
• Associated Symptoms: None (no numbness, tingling, weakness, bowel/bladder dysfunction, fever, or
weight loss)
,Physical Examination Findings
• General: Mild discomfort when rising from sitting, normal ambulation
• Inspection: No deformity, swelling, or bruising
• Palpation: Tenderness over paraspinal muscles, vertebral column non-tender
• Range of Motion: Limited lumbar flexion, normal extension/lateral movement
• Neurological Exam: Normal reflexes, strength, sensation; negative straight leg raise (rules out
radiculopathy)
,
