a new patient presents to your office with chronic lbp (vas 8/10) which began approximately 3 months ago and…

a new patient presents to your office with chronic lbp (vas 8/10) which began approximately 3 months ago and has been getting worse since it began. the patient is a 38 year old female with a history of breast cancer. she has been seeing a massage therapist for the past 6 weeks and although she experiences a slight decrease in pain (from vas 8/10 to vas 7/10) following a massage, the relief only lasts 1-2 hours. you should be suspect that ______ may be causing your patients pain. choose the best answer.\na) a malignant neoplasm\nb) a sprain strain\nc) osteomyelitis\nd) facet syndrome
Answer
Brief Explanations:
The patient has chronic worsening lower back pain (LBP) with a history of breast cancer. Massage provides only very short-lived, minimal pain relief. Malignant neoplasm (metastatic breast cancer to the spine) is a key concern here, as it causes progressive, poorly responsive pain, unlike the other options: sprain/strain would typically improve over time, osteomyelitis involves infectious symptoms, and facet syndrome pain often responds better to targeted treatments than this patient's presentation shows.
Answer:
a) a malignant neoplasm