Chronic Low Back Pain Causes

Question 1

Normal neurologic examination
Paraspinal tenderness

Answer 1

Mechanical
(eg, muscle strain,
disk degeneration)

Question 2

Mechanical (eg, muscle strain, disk degeneration)

Answer 2

Normal neurologic examination
, Paraspinal tenderness

Question 3

• Radiation below the knee
, Positive straight-leg raising test
, Neurologic deficits

Answer 3

Radiculopathy
(eg, herniated disk)

Question 4

Radiculopathy
(eg, herniated disk)

Answer 4

• Radiation below the knee
, Positive straight-leg raising test
, Neurologic deficits

Question 5

Spinal stenosis

Answer 5

• Pseudoclaudication
, Relief with leaning forward

Question 6

• Pseudoclaudication
, Relief with leaning forward

Answer 6

Spinal stenosis

Question 7

• Worse with rest, better v,ith activity
Sacroiliitis

Answer 7

Inflammatory (eg, spondyloarthropathy)

Question 8

Inflammatory (eg, spondyloarthropathy)

Answer 8

, Sacroiliitis
Worse with rest, better v,ith activity

Question 9

Metastatic cancer

Answer 9

• Age >50
, Worse at night
• Unrelieved with rest

Question 10

• Age >50
, Worse at night
• Unrelieved with rest

Answer 10

Metastatic cancer

Question 11

• Fever, focal spine tenderness

Recent infection or IVOU
(eg, osteomyelitis, discitis)

Answer 11

Infectious