Low Back Pain Differential Diagnoses

From WikiMSK

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)


Chronic low back pain sources.PNG

Sources of pain in chronic low back pain as a function of age.[1] Copyright ยฉ 2020 American Academy of Pain Medicine

Clinical Features

Low back pain somatic and radicular features.PNG

From Manchikanti et al[2]


  1. โ†‘ DePalma et al.. What is the source of chronic low back pain and does age play a role?. Pain medicine (Malden, Mass.) 2011. 12:224-33. PMID: 21266006. DOI.
  2. โ†‘ Manchikanti L, Kaye AD, Soin A, et al. Comprehensive Evidence-Based Guidelines for Facet Joint Interventions in the Management of Chronic Spinal Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines Facet Joint Interventions 2020 Guidelines. Pain Physician. 2020;23(3S):S1-S127.

Jarvik & Deyo. Diagnostic evaluation of low back pain with emphasis on imaging. Annals of internal medicine 2002. 137:586-97. PMID: 12353946. DOI.