Template:Low Back Pain DDX: Difference between revisions
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(Created page with "==Differential Diagnosis== *Discogenic pain *Internal disc disruption (subset of discogenic pain) *Facet joint pain *Central foraminal stenosis *Myofascial syndrome") |
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'''Mechanical Low Back Pain (97%)''' | |||
*[[Internal Disc Disruption|Internal disc disruption]] | |||
*Internal disc disruption | *[[Lumbar Zygapophysial Joint Pain|Facet joint pain]] | ||
* | *[[Sacroiliac Joint Pain|Sacroiliac joint pain]] | ||
* | *[[Sacroiliac Joint Pain|Sacroiliac ligament pain]] | ||
*Myofascial syndrome | *[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Torsion_Injuries|Torsion injuries]] | ||
*[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Vertebral_Pain|Vertebral or sacral insufficiency fractures]] | |||
*[[Interspinous Oedema|Interspinous tissue injury]] | |||
*[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Posterior_Elements|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, [[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]], [[Superior Cluneal Nerve Entrapment|cluneal nerve entrapment]], [[Lumbar Spinal Stenosis|spinal stenosis]], [[Myofascial Pain Syndrome|myofascial syndrome]] | |||
'''Nonmechanical Spine Conditions (1%)''' | |||
*[[Bone Lesions|Neoplasia]] (Multiple myeloma, metastatic carcinoma, lymphoma, leukaemia, spinal cord tumours, retroperitoneal tumours, primary vertebral tumours) | |||
*[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Discitis_and_Vertebral_Osteomyelitis|Infection]] (Osteomyelitis, discitis, paraspinous abscess, [[Spinal Epidural Abscess|epidural abscess]], shingles) | |||
*[[Spondyloarthritis]] | |||
*[[Scheuermann's Disease|Scheuermann disease]], especially type II | |||
*[[Diffuse Idiopathic Skeletal Hyperostosis|Diffuse idiopathic skeletal hyperostosis]] | |||
*[[Osteitis Condensans Ilii]] | |||
*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) |
Latest revision as of 21:26, 10 May 2022
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
- Osteitis Condensans Ilii
- 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)