Template:Low Back Pain DDX: Difference between revisions

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==Differential Diagnosis==
'''Mechanical Low Back Pain (97%)'''
===Mechanical Low Back or Leg Pain (97%)===
*[[Internal Disc Disruption|Internal disc disruption]]
*Discogenic pain
*[[Lumbar Zygapophysial Joint Pain|Facet joint pain]]
*Internal disc disruption (subset of discogenic pain)
*[[Sacroiliac Joint Pain|Sacroiliac joint pain]]
*Facet joint pain
*[[Sacroiliac Joint Pain|Sacroiliac ligament pain]]
*Sacroiliac joint or ligament pain
*[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Torsion_Injuries|Torsion injuries]]
*Spinal stenosis
*[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Vertebral_Pain|Vertebral or sacral insufficiency fractures]]
*Abnormal motion/instability
*[[Interspinous Oedema|Interspinous tissue injury]]
*Myofascial syndrome
*[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Posterior_Elements|Lamina impaction]]
*Osteoporotic compression fracture and other fractures
*[[Idiopathic Scoliosis|Scoliosis]]
*Spondylolisthesis and spondylolysis
*[[Spondylolysis]] in a sportsperson, but not the general population
*Scoliosis
*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]]
*Transitional vertebrae
*Presumed instability


===Nonmechanical Spine Conditions (1%)===
'''Nonmechanical Spine Conditions (1%)'''
*Neoplasia (Multiple myeloma, metastatic carcinoma, lymphoma, leukaemia, spinal cord tumours, retroperitoneal tumours, primary vertebral tumours)
*[[Bone Lesions|Neoplasia]] (Multiple myeloma, metastatic carcinoma, lymphoma, leukaemia, spinal cord tumours, retroperitoneal tumours, primary vertebral tumours)
*Infection (Osteomyelitis, discitis, paraspinous abscess, epidural abscess, shingles)
*[[Causes_and_Sources_of_Chronic_Low_Back_Pain#Discitis_and_Vertebral_Osteomyelitis|Infection]] (Osteomyelitis, discitis, paraspinous abscess, [[Spinal Epidural Abscess|epidural abscess]], shingles)
*Inflammatory arthritis (Ankylosing spondylitis, reiter syndrome, inflammatory bowel disease)
*[[Spondyloarthritis]]
*Scheuermann disease (osteochondrosis)
*[[Scheuermann's Disease|Scheuermann disease]], especially type II
*[[Diffuse Idiopathic Skeletal Hyperostosis|Diffuse idiopathic skeletal hyperostosis]]
*[[Osteitis Condensans Ilii]]
*Paget disease
*Paget disease


===Visceral Disease (2%)===
'''Visceral Disease (2%)'''
*Pelvic organ involvement (Prostatitis, endometriosis, chronic pelvic inflammatory disease)
*Pelvic organ involvement (Prostatitis, endometriosis, chronic pelvic inflammatory disease)
*Renal involvement (Nephrolithiasis, pyelonephritis, perinephric abscess)
*Renal involvement (Nephrolithiasis, pyelonephritis, perinephric abscess)
*Aortic aneurysm
*Aortic aneurysm
*Gastrointestinal involvement (Pancreatitis, cholecystitis, ulcer)
*Gastrointestinal involvement (Pancreatitis, cholecystitis, ulcer)

Latest revision as of 21:26, 10 May 2022

Mechanical Low Back Pain (97%)

Nonmechanical Spine Conditions (1%)

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)