Low Back Pain Flashcards
Back pain lasting up to 6 weeks
acute back pain
back pain lasting 7-12 weeks
sub-acute
back pain lasting >12 weeks
chronic
somatic dysfunction, spinal arthritis, degenerative disk disease, facet arthritis, fracture, spondylolysis, spondylolisthesis, scoliosis can all cause
mechanical low back pain without radiation below the knee
fracture of the pars interarticularis
spondylolysis
vertebral step off
spondylolisthesis
radiculopathy, spinal stenosis, cauda equina syndrome all cause
mechanical lower back pain that radiates below the knee
pain with dermatomal distribution, lower extremity weakness, diminished reflexes are caused by
radiculopathy (herniated lumbar nucleus pulposa)
bilateral lower limb pain, neurogenic claudication, lower extremity weakness, diminished reflexes may be caused by
spinal stenosis
mechanical lower back pain with radiation below the knee
saddle anesthesia, lower extremity weakness, diminished reflexes, urinary retention are characteristic of
cauda equina syndrome
emergent
vasculogenic causes of lower back pain
aortic aneurysm
ischemic spinal claudication
ripping, tearing abdominal pain, pulsatile abdominal mass
aortic aneurysm
seronegative spondyloarthropathy causes of lower back pain
psoriatic arthritis
ankylosing spondylitis
IBD
Reiter syndrome
group of psychological disorders in which a patient experiences physical symptoms that are inconsistent with or cannot be fully explained by any underlying general medical or neurologic condition
somatoform disorder
exagerate or feign illness in order to escape work or duty
malingering
