Case Presentation: 69 y/o female presents to the emergency department with acute on subacute low back pain in the setting of fall 12 weeks prior. Treated outpatient with conservative therapy including topicals, NSAIDs, tramadol, Flexeril and physical therapy. PMH of asthma, migraines, breast cancer in remission (s/p lumpectomy, chemotherapy and radiation in 2015, last annual [...]