Clinical Case Database / Category: Patient Management

Back pain

Publication details

Anil Khanna MRCS(Edin), MS (Ortho), Nikolaos Gougoulias, MD, PhD, Ruchika Dhar MBBS, Nicola Maffulli MD, MS, PhD, FRCS(Orth)
Foundation Years Journal, volume 3, issue 8, p.9 (123Doc Education, London, October 2010)


A 46-year-old woman attended the A&E Department with a 7-day history of severe back pain. Radiation of pain down her left leg started 3 days before attending the hospital. The pain started when she bent down to lift up a heavy flower pot in her garden. She took paracetamol and Ibuprofen without much help with her symptoms. The pain gradually worsened, and she finds it difficult to move from her bed to the toilet and back. There is no history suggestive of bowel and bladder disturbance.

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Anil Khanna MRCS(Edin), MS (Ortho)

Depuy International Implant Research Fellow
University Hospital of North Staffordshire, Stoke-on Trent

Nikolaos Gougoulias, MD, PhD

CCT Orthopaedics
Clinical Fellow Royal Surrey and Frimley Park Hospitals

Ruchika Dhar MBBS

Nottingham University Hospital, Nottingham

Nicola Maffulli MD, MS, PhD, FRCS(Orth)

Centre Lead and Professor of Sports and Exercise Medicine
Consultant Trauma and Orthopaedic Surgeon
Centre for Sports and Exercise Medicine
Barts and The London School of Medicine and Dentistry
Mile End Hospital
275 Bancroft Road
London E1 4DG


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.