Diagnostic Pitfalls. Cancer and metastasis of the spine can mimic degenerative back and neck pain Early referral and early and wider use of MRI scans is essential to avoid missing serious pathology High Index of suspicion vital. Always ask history of previous malignancy
Narrowing L45 Disc space
Early OA in Left Hip
Rx- Physio, Pain killers, Exercise programs
Metastasis at T5, T8 and
L1, with bulging at T5.
? Left Hip pain referred from L1 area
No known Primary
Treated by radiotherapy.