Medicine case discussion

55 years old female with lower backache since 15 years This is an online E log book to discuss our patient's deidentified health data shared after taking his/her / guardian's signed informed consent Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-Centered online learning portfolio and your valuable inputs on the comment box is welcome."  CHIEF COMPLAINTS  55 year old female from Assam came with the CHIEF COMPLAINTS of lower back ache since 15 years . HISTORY OF  PRESENTING ILLNESS  Patient is a resident of Assam married at the age of 18 years ,started working in farms 4 years after her marriage ,her work many consisted of ploughing and sowing ,transplanting the sampling requiring her to bend forward and lean for several hours (5-1...