Template:Low Back Pain DDX: Difference between revisions

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*Abnormal motion/instability
*Abnormal motion/instability
*Myofascial syndrome
*Myofascial syndrome
*Superior or medial cluneal nerve entrapment
*Osteoporotic compression fracture and other fractures
*Osteoporotic compression fracture and other fractures
*Spondylolisthesis and spondylolysis
*Spondylolisthesis and spondylolysis

Revision as of 15:48, 7 September 2020

Differential Diagnosis

Mechanical Low Back or Leg Pain (97%)

  • Discogenic pain
  • Internal disc disruption (subset of discogenic pain)
  • Facet joint pain
  • Sacroiliac joint or ligament pain
  • Spinal stenosis
  • Abnormal motion/instability
  • Myofascial syndrome
  • Superior or medial cluneal nerve entrapment
  • Osteoporotic compression fracture and other fractures
  • Spondylolisthesis and spondylolysis
  • Scoliosis
  • Transitional vertebrae
  • Presumed instability

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)
  • 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)