31 yo obese male suffered trauma to lower back while playing | Figure 1

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Nurse Practitioner

31 yo obese male suffered trauma to lower back while playing basketball. Pain is localized to left lower back upon light palpating with some radiation to right side. Pain is better when Pt lays down. Initially, when first injured, pain was 10/10 intermittent for about a week; but got better with p.o pain medication and limited activity. Pt went back to playing basketball after a week and reinjured his lower back. Pt has been in pain for about 9 months. X-ray f/u shown is in supine position. A Side view was also done. Not included with case.

What can you conclude might be his issue from looking at this X-ray of his sacrum/coccyx area.

The author made 3 updates to this case

Update 1

Report came back as "dislocated distal coccyx segment. No fracture."

Update 2

Pt started on steroid dose pack, naproxen 500 mg p.o bid, a cushion donut, ice/heat therapy, rest. F/u X-ray in 4 weeks

Update 3

Pt reporting improvement of pain on steroids and naproxen. Repeat X-ray in 6 weeks.

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