Abstract

This article describes the case of an adolescent female with lumbar disc herniation characterized by chronic low back pain (LBP) and antalgic gait. A 27-year-old woman presented with chronic low back pain and subsequent deterioration in her quality of life and impairment in activities of daily living. The patient was evaluated and diagnosed based on her medical history, clinical examination and imaging. She had shown failure in both her symptomatic and functional improvement in natural history and conservative management due to an injury to the facet joint of her lower lumbar spine. Pain radiating to the lower extremities in a young adolescent should be considered, especially in cases of minor trauma or when her LBP becomes chronic. Further research is needed on the long-term effects of such disc injuries in young adults and how best to conservatively manage these patients. Includes discussion of disc herniation pain associated with adolescent disc injuries.

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