Abstract
Rebecca is a 34-year-old attorney and a mother of two who presents with an 18-month history of right lower back pain, buttock pain, and right lower extremity pain. The pain began insidiously without any specific identifiable inciting event 18 months ago when her youngest son was 2 years old. At first the pain she reports that the pain was mild. She tried to “just ignore the pain.” She initially attributed the pain to taking care of her kids, including lifting her 2-year-old son into and out of the car, working long hours, and generally not taking better care of herself. However, over following 3 months her pain gradually worsened to the point that she realized it was affecting her work performance and making it difficult for her to take care of her children. At that point, she went to see her primary care physician who sent her to a pain management doctor.