An 86-year-old female presents with mid back pain. the pain started yesterday afternoon when she stepped off a curb. she states she did not fall and does not remember twisting her back at all when she stepped down. she has never had back pain like this be

Sudden Mid-back pain: Mita: this is an elderly lady with sudden back pain and from your description, it is without trauma. She needs to see a physician for a back exam. Osteoporosis is silent, that is, often undiagnosed until an elderly patient develops sudden back pain from a vertebral fracture. But there could be several other possibilities. In the elderly, a back xray is reasonable first test to assess the cause