Recurrent Psoas Syndrome Secondary to Urolithiasis and Indwelling Ureteral Stent

Abstract

Strong evidence-based guidelines exist for the evaluation and treatment of the acute medical consequences of urolithiasis, however, less emphasis has been placed on the assessment of acute and chronic musculoskeletal effects. In our case report, a 35-year-old male who develops a chronic psoas syndrome secondary to an episode of ureterolithiasis and ureteral stent placement is subsequently treated with long-term osteopathic manual medicine (OMM). Our case suggests that urolithiasis may be associated with the development of psoas syndrome – a condition that may be amenable to OMM. The specific treatment modalities discussed may be utilized to decrease symptomatology for patients presenting with similar findings.