TY - JOUR
T1 - Low back pain and calf pain in a recreational runner masking peripheral artery disease
T2 - A case report
AU - Brindisino, Fabrizio
AU - Pennella, Denis
AU - Giovannico, Giuseppe
AU - Rossettini, Giacomo
AU - Heick, John D.
AU - Maselli, Filippo
N1 - Publisher Copyright:
© 2019 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Background: Running is one of the most popular sports worldwide due to its low costs and its beneficial impact on health. Recent evidence suggests 11% to 85% of recreational runners experience at least one running-related injury each year and most of these are related to musculoskeletal conditions. The aim of this case report is to describe the clinical decision-making process that guided a physiotherapist to suspect a non-musculoskeletal cause in a recreational runner presenting with low back pain and calf pain secondary to Peripheral Artery Disease. Case Presentation: This case report describes the clinical history, clinical exam, laboratory and imaging tests, and surgical procedure of a 65 y.o. amateur runner suffering low back pain and left calf pain for 3 months. The patient’s clinical findings suggested that referral to another health-care provider was required to explore potential non-musculoskeletal sources of pain. An angioplasty was necessary to solve the patient’s clinical situation. Discussion and Conclusion: In this patient case, clinical findings along with a comprehensive family and personal history, ruled out a musculoskeletal condition and implicated a vascular condition.
AB - Background: Running is one of the most popular sports worldwide due to its low costs and its beneficial impact on health. Recent evidence suggests 11% to 85% of recreational runners experience at least one running-related injury each year and most of these are related to musculoskeletal conditions. The aim of this case report is to describe the clinical decision-making process that guided a physiotherapist to suspect a non-musculoskeletal cause in a recreational runner presenting with low back pain and calf pain secondary to Peripheral Artery Disease. Case Presentation: This case report describes the clinical history, clinical exam, laboratory and imaging tests, and surgical procedure of a 65 y.o. amateur runner suffering low back pain and left calf pain for 3 months. The patient’s clinical findings suggested that referral to another health-care provider was required to explore potential non-musculoskeletal sources of pain. An angioplasty was necessary to solve the patient’s clinical situation. Discussion and Conclusion: In this patient case, clinical findings along with a comprehensive family and personal history, ruled out a musculoskeletal condition and implicated a vascular condition.
KW - Differential Diagnosis
KW - angioplasty
KW - ankle brachial index
KW - low back pain
KW - peripheral arterial disease
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U2 - 10.1080/09593985.2019.1683922
DO - 10.1080/09593985.2019.1683922
M3 - Article
C2 - 31661344
AN - SCOPUS:85074755787
SN - 0959-3985
VL - 37
SP - 1146
EP - 1157
JO - Physiotherapy Theory and Practice
JF - Physiotherapy Theory and Practice
IS - 10
ER -