Template:Low Back Pain DDX
From WikiMSK
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)
