Template:Low Back Pain DDX: Difference between revisions
From WikiMSK
Line 11: | Line 11: | ||
*[[Idiopathic Scoliosis|Scoliosis]] | *[[Idiopathic Scoliosis|Scoliosis]] | ||
*[[Spondylolysis]] in a sportsperson, but not the general population | *[[Spondylolysis]] in a sportsperson, but not the general population | ||
*The following are ''disputed'' causes of low back pain: degenerative changes, low grade disc infection, [[Non-Specific Chronic Low Back Pain|non-specific chronic low back pain]], [[Transitional Vertebral Anatomy|transitional vertebrae]], congenital fusion, spina bifida occulta, [[Spondylolisthesis|spondylolisthesis]], [[Lumbar Instability|instability]], [[Failed Back Surgery Syndrome|failed back surgery syndrome]], [[Lumbar Fat Herniation|back mice]], [[Cluneal Nerve Pain|cluneal nerve entrapment]], [[Lumbar Spinal Stenosis|spinal stenosis]], myofascial syndrome | *The following are ''disputed'' causes of low back pain: degenerative changes, low grade disc infection, [[Non-Specific Chronic Low Back Pain|non-specific chronic low back pain]], [[Transitional Vertebral Anatomy|transitional vertebrae]], congenital fusion, spina bifida occulta, [[Spondylolisthesis|spondylolisthesis]], [[Lumbar Instability|instability]], [[Failed Back Surgery Syndrome|failed back surgery syndrome]], [[Lumbar Fat Herniation|back mice]], [[Cluneal Nerve Pain|cluneal nerve entrapment]], [[Lumbar Spinal Stenosis|spinal stenosis]], [[Myofascial Pain Syndrome|myofascial syndrome]] | ||
'''Nonmechanical Spine Conditions (1%)''' | '''Nonmechanical Spine Conditions (1%)''' |
Revision as of 19:51, 17 March 2022
Differential Diagnosis
Mechanical Low Back Pain (97%)
- Internal disc disruption
- Facet joint pain
- Sacroiliac joint pain
- Sacroiliac ligament pain
- Torsion injuries
- Vertebral or sacral insufficiency fractures
- Interspinous tissue injury
- Lamina impaction
- Scoliosis
- Spondylolysis in a sportsperson, but not the general population
- The following are disputed causes of low back pain: degenerative changes, low grade disc infection, non-specific chronic low back pain, transitional vertebrae, congenital fusion, spina bifida occulta, spondylolisthesis, instability, failed back surgery syndrome, back mice, cluneal nerve entrapment, spinal stenosis, myofascial syndrome
Nonmechanical Spine Conditions (1%)
- Neoplasia (Multiple myeloma, metastatic carcinoma, lymphoma, leukaemia, spinal cord tumours, retroperitoneal tumours, primary vertebral tumours)
- Infection (Osteomyelitis, discitis, paraspinous abscess, epidural abscess, shingles)
- Spondyloarthritis
- Scheuermann disease, especially type II
- Diffuse idiopathic skeletal hyperostosis
- Paget disease
Visceral Disease (2%)
- Pelvic organ involvement (Prostatitis, endometriosis, chronic pelvic inflammatory disease)
- Renal involvement (Nephrolithiasis, pyelonephritis, perinephric abscess)
- Aortic aneurysm
- Gastrointestinal involvement (Pancreatitis, cholecystitis, ulcer)