Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive spinal stiffness and restricted range of motion, primarily involving the thoracic and lumbar segments. Reports associated mechanical back pain, often exacerbated by prolonged inactivity or morning stiffness. Denies constitutional symptoms, radiculopathy, or bowel/bladder dysfunction. History of metabolic syndrome, obesity, or type 2 diabetes noted.
Clinical Examination Findings
Physical examination reveals marked thoracic kyphosis and restricted spinal mobility in all planes. Palpation demonstrates diffuse paraspinal tenderness without focal neurological deficits. Gait is stable but demonstrates reduced spinal fluidity. Peripheral joint examination may show enthesopathy at the olecranon, patella, or calcaneus. Neurological exam is non-focal; reflexes are symmetric and 2+ throughout.
Treatment Protocol
Management plan includes conservative therapy with non-steroidal anti-inflammatory drugs (NSAIDs) for pain control and physical therapy focusing on spinal flexibility and postural correction. Weight management and glycemic control are essential components of long-term care. Surgical intervention is reserved strictly for cases with severe spinal stenosis, dysphagia due to large osteophytes, or unstable fractures.