Presentation: 29 y/o patient presented with right sided thoracolumbar pain with associated muscle spasm following an incident at work 3 weeks earlier. She was assisting a geriatric patient (78 y/o and 68kg) into a wheelchair. The seat of the chair gave way and in a effort to prevent her patient from falling, she took their full weight while she was in a slightly flexed and rotated position. She describes the thoracolumbar pain as a constant grabbing feeling with occasional sharp twinges when leaning forward. She denies any peripheral pins & needles, numbness, burning sensation, or weakness. She denies any fecal incontinence or saddle anaesthesia. Examination: Neurological examination unremarkable. No radicular signs. Reflexes intact bilaterally. Muscle strength good bilaterally. Thoracic range of motion; flexion = 15 deg. extension = 20 deg. Left lateral flexion = 10 – 20 deg. Right lateral flexion = 0 – 10 deg. Lumbar range of motion; flexion = 21 – 30 deg. extension = 15 deg. Left lateral flexion = 10 – 20 deg. R lateral flexion = 10 deg. Cough/Valsalva; negative Straight leg raise; negative bil Siump; positive for right sided muscles tension. Palpation; sensitivity and restriction at 10 – L2 with hypertonic spinalis dorsi … Continue reading T12/L1 Facet Strain