A 50-year-old female runner presented to the clinic with persistent moderate low back and mid-back pain. She had a history of breast carcinoma. She had no positive neurologic signs or symptoms suggestive of radiculopathy. She denied any other health symptoms and received mild relief with only one chiropractic office visit consisting of spinal manipulation, moist heat, and electrical stimulation. Although the patient experienced some pain relief after her treatment, she continued to experience persistent mild pain in the thoracolumbar area. Because of the patient's lingering back pain, she was referred for lumbar spine radiographs and CT scan.

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