transparent-logo

A 32-year-old male presents to clinic with complaints of mid back pain ongoing for 5 days. He states the pain began after lifting weights at the gym. He describes the pain as sharp without radiation and rates the pain a 7/10. He has tried acetaminophen and ibuprofen over the counter with only mild relief of his symptoms. The patient requests something be done today for his pain, if possible. Physical examination reveals increased warmth and spasticity of the paraspinal musculature between T5-T9. In addition, you find that T7 is rotated right and that the rotational asymmetry improves with flexion. Which of the following diagnoses are most consistent with the findings observed?