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Clinical Rheumatology

, Volume 27, Issue 4, pp 525–527 | Cite as

Unusual case of camptocormia triggered by lumbar-disc herniation

  • Iltekin DumanEmail author
  • Korhan Baklacı
  • Arif Kenan Tan
  • Tunc Alp Kalyon
Case Report

Abstract

A 21-year-old male patient with low back pain and marked forward bending was presented. The exaggerated lumbar flexion was preventing him to stand in erect posture but disappeared while lying. The symptoms had begun after he had lifted a heavy object. Straight-leg-raising test could not be performed properly because of the exaggerated pain. The light-touch sense was decreased on L5 and S1 dermatomes. There was no loss of muscle strength. The deep-tendon reflexes were normal. Plain graph showed mild narrowing in the L4–5 and L5–S1 intervertebral spaces. Lumbar magnetic resonance imaging revealed disc protrusions in L4–5 and L5–S1 levels. During his stay in the department, the patient was given tizanidine and tramadol, and physical therapy was performed. A paravertebral intramuscular injection with lidocaine was applied. Moreover, the patient was referred to psychiatrist for evaluation regarding his medical history of conversive seizures and possible efforts for secondary gain. No response was obtained from all the treatments. The final diagnosis was camptocormia triggered by lumbar-disc herniation. He was applied supportive psychotherapy, psychoeducation regarding secondary gain, strong suggestions to improve posture, positive reinforcement, and behavioral therapy. His postural abnormality resolved and disappeared completely with mild pain.

Keywords

Camptocormia Low back pain Lumbar-disc herniation 

Notes

Disclosures

None

Supplementary material

Video 1

The patient had exaggerated lumbar flexion and could not stand in erect posture while standing or walking (MPG 5.73 MB).

Video 2

The postural abnormality of the patient resolved and disappeared completely with mild pain remaining. He could easily stand and walk in erect position after treatment (MPG 3.97 MB).

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Copyright information

© Clinical Rheumatology 2007

Authors and Affiliations

  • Iltekin Duman
    • 1
    Email author
  • Korhan Baklacı
    • 1
  • Arif Kenan Tan
    • 1
  • Tunc Alp Kalyon
    • 1
  1. 1.Department of Physical Medicine and RehabilitationGulhane Military Medical AcademyEtlik-AnkaraTurkey

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