Template:Low Back Pain DDX: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
'''Mechanical Low Back | '''Mechanical Low Back Pain (97%)''' | ||
*[[ | *[[Internal Disc Disruption|Internal disc disruption]] (subset of discogenic pain) | ||
*[[Lumbar Zygapophysial Joint Pain|Facet joint pain]] | |||
*[[Lumbar | *[[Sacroiliac Joint Pain|Sacroiliac joint pain]] | ||
*[[Sacroiliac Joint Pain|Sacroiliac joint | *[[Sacroiliac Joint Pain|Sacroiliac ligament pain]] | ||
*[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Torsion_Injuries|Torsion injuries]] | |||
*[[ | *[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Vertebral_Pain|Vertebral compression fractures]] | ||
*[[Interspinous Oedema|Interspinous tissue injury]] | |||
*Lamina impaction | |||
*[[ | *[[Idiopathic Scoliosis|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, [[Transitional Vertebral Anatomy|transitional vertebrae]], congenital fusion, spina bifida occulta, [[Spondylolisthesis|spondylolisthesis]], 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 | ||
*[[Scoliosis|Scoliosis]] | |||
*[[Transitional Vertebral Anatomy| | |||
'''Nonmechanical Spine Conditions (1%)''' | '''Nonmechanical Spine Conditions (1%)''' | ||
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*Infection (Osteomyelitis, discitis, paraspinous abscess, epidural abscess, shingles) | *Infection (Osteomyelitis, discitis, paraspinous abscess, epidural abscess, shingles) | ||
*Inflammatory arthritis (Ankylosing spondylitis, reiter syndrome, inflammatory bowel disease) | *Inflammatory arthritis (Ankylosing spondylitis, reiter syndrome, inflammatory bowel disease) | ||
*Scheuermann disease (osteochondrosis) | *[[Scheuermann's Disease|Scheuermann disease]] (osteochondrosis) | ||
*[[Diffuse Idiopathic Skeletal Hyperostosis|Diffuse idiopathic skeletal hyperostosis]] | |||
*Paget disease | *Paget disease | ||
Revision as of 08:41, 13 September 2021
Differential Diagnosis
Mechanical Low Back Pain (97%)
- Internal disc disruption (subset of discogenic pain)
- Facet joint pain
- Sacroiliac joint pain
- Sacroiliac ligament pain
- Torsion injuries
- Vertebral compression 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, 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)
- Inflammatory arthritis (Ankylosing spondylitis, reiter syndrome, inflammatory bowel disease)
- Scheuermann disease (osteochondrosis)
- 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)
