Rheumatology Getting The Most Out Of Radiology英文电子书.pdfVIP

Clinical basics Rheumatology: 3. Getting the most Review out of radiology Synthèse From *†the Division of Rheumatology, Graham Reid,* John M. Esdaile† University of British Columbia, *†Vancouver The case General Hospital and A 72-year-old man has been seeing the same physician for 2 decades, and his †the Arthritis Research only complaint has been intermittent mild low-back pain over the last 8–10 Centre of Canada, years. The pain had not interfered with his enjoyment of an active life, which Vancouver, BC. included golf, tennis and gardening. However, over the past year the low- back pain has increased and is particularly noticeable when the man is walk- This article has been peer reviewed. ing. The pain radiates to his right thigh and calf. It is not aggravated by Val- salva’s manoeuvre and is relieved within 2 minutes by sitting. The man has CMAJ 2000;162(9):1318-25 had to give up most of his activities and can walk only 2 blocks. Over-the- counter analgesics and anti-inflammatory drugs, chiropractic, physiotherapy This series has been reviewed and massage have not provided lasting relief. His physician noti