Table 1.

Timeline of the patient’s clinical course, treatments, and follow-up

Timeline	Event	Treatment	Outcome
Symptom onset	2.5 years; began in 6th month of second pregnancy	Analgesics as needed	Mild improvement
Prior to presentation	Diagnosed as spondyloarthritis at another centre	Sulfasalazine → Methotrexate → Tofacitinib	No clinical improvement
Presentation at our center	Detailed evaluation	MRI reviewed	Correct diagnosis: OCI
Post-diagnosis	Conservative management	Anti-inflammatory drug,Physiotherapy,muscle relaxants	Significant improvement at 2-month follow-up. Occasional mild lower back pain