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A 65-year-old woman presents with persistent pain in her middle and lower back, which started around a month ago, after she attempted to pick up a potted plant. The pain is worsened by exertion, and relieved by lying down; it has progressively increased over time. There was no associated tingling, numbness or weakness. Her menopause was at 48 years of age. She has never been on hormone replacement therapy.


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