Diagnoses & Classification (2)

Question 1

What is specific spinal pain?

Answer 1

Diagnosis can be established based on clinical & radiological exam
Source (specific anatomical structure) and mechanism of symptoms can be establised

Question 2

What is non specific spinal pain?

Answer 2

Mechanical;
pain occuring primarily in back with no signs of serious underlying condition (eg cancer, infection, cauda equina syndrome), spinal stenosis or radiculopathy or another specific spinal cause (such as vertebral compression or ankylosing spondylytis)

Question 3

What are some specifc disorders of spinal pain? (5)

Answer 3

Fracture
Tumor
Spinal stenosis
Ankylosing spondylitis (and other inflammatory disorders)
Disc protrusion with radioculopathy

Question 4

What % of spinal pain is non specific?

Answer 4

80

Question 5

How can diagnosis of non specific pain be made?

Answer 5

• Hx of symptom on set and progression
• location, nature and behaviour of symptoms
  P/E : identification between spinal movement/posture and symptoms (pain)
  identification of clinical signs relevant to symptoms eg PAIVMS, PPIVMS

Radiological imaging

Medical investigations and opinions

Exclusion of other causes

Question 6

What are the common diagnostic terms (acceptable)

Answer 6

Lumber Sprain
Lumbar Strain
Mechanical LBP

Question 7

What are unacceptable diagnostic terms in NSLBP?

Answer 7

lumbar disc degeneration
Syondylosis
ZP joint sprain/ ZP joint pain