Psoas syndrome: a frequently missed diagnosis.
Psoas syndrome is an easily missed diagnosis. However, it is important to consider this condition as part of the differential diagnosis for patients presenting with low back pain--particularly for osteopathic physicians, because patients may view these practitioners as experts in musculoskeletal conditions. The authors describe the case of a 48-year-old man with a 6-month history of low back pain that had been attributed to "weak core muscles." The diagnosis of psoas syndrome was initially overlooked in this patient. After the correct diagnosis was made, he was treated by an osteopathic physician using osteopathic manipulative treatment, in conjunction with at-home stretches between office treatments. At his 1-month follow-up appointment, he demonstrated continued improvement of symptoms and a desire for further osteopathic manipulative treatment.
Department of Family Medicine, Kansas City University of Medicine and Biosciences' College of Osteopathic Medicine, 1750 Independence Ave, SEP 354, Kansas City, MO 64106-1453, USA.
Andrea
A
Tufo
Gautam J
GJ
Desai
W Joshua
WJ
Cox
D003937:Diagnosis, Differential; D005081:Exercise Therapy; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D008297:Male; D026301:Manipulation, Osteopathic / Q000379:methods*; D008875:Middle Aged; D055360:Osteopathic Physicians; D010148:Intractable Pain / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D016658:Psoas Muscles / Q000473:pathology*; D013035:Spasm / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D013577:Syndrome