Back pain classification: Difference between revisions
Jump to navigation
Jump to search
Zehra Malik (talk | contribs) |
Zehra Malik (talk | contribs) |
||
| (3 intermediate revisions by the same user not shown) | |||
| Line 4: | Line 4: | ||
{{CMG}}; {{AE}} {{ZMalik}} {{Fs}} | {{CMG}}; {{AE}} {{ZMalik}} {{Fs}} | ||
==Overview== | ==Overview== | ||
On the basis of origin, [[back]] [[pain]] can be broadly classified into three categories: [[axial]], [[referred]], and radicular. | On the basis of origin, [[back]] [[pain]] can be broadly classified into three categories: [[axial]], [[referred]], and radicular. [[Back]] [[pain]] can also be classified on the basis of its underlying [[etiology]] into mechanical and non-mechanical. | ||
==Classification== | ==Classification== | ||
[[Back]] [[pain]] can be classified into three broad categories on the basis of its origin:<ref name="pmid30854609">{{cite journal| author=Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V | display-authors=etal| title=Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. | journal=Curr Pain Headache Rep | year= 2019 | volume= 23 | issue= 3 | pages= 23 | pmid=30854609 | doi=10.1007/s11916-019-0757-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30854609 }} </ref> | *[[Back]] [[pain]] can be classified into three broad categories on the basis of its origin including [[axial]], referred and radicular:<ref name="pmid30854609">{{cite journal| author=Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V | display-authors=etal| title=Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. | journal=Curr Pain Headache Rep | year= 2019 | volume= 23 | issue= 3 | pages= 23 | pmid=30854609 | doi=10.1007/s11916-019-0757-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30854609 }} </ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
|'''Origin'''||'''Distinguishing Feature''' | |'''Origin'''||'''Distinguishing Feature''' | ||
| Line 17: | Line 17: | ||
|Radicular [[pain]]||Follows a [[spinal nerve]] pathway, mostly described as [[sensation]] of [[numbness]], [[tingling]], [[weakness]]. | |Radicular [[pain]]||Follows a [[spinal nerve]] pathway, mostly described as [[sensation]] of [[numbness]], [[tingling]], [[weakness]]. | ||
|} | |} | ||
*[[Back]] [[pain]] can also be classified on the basis of its underlying [[etiology]] into mechanical and non-mechanical:<ref name="pmid24150427">{{cite journal |vauthors=Sun JC, Xu T, Chen KF, Qian W, Liu K, Shi JG, Yuan W, Jia LS |title=Assessment of cauda equina syndrome progression pattern to improve diagnosis |journal=Spine (Phila Pa 1976) |volume=39 |issue=7 |pages=596–602 |date=April 2014 |pmid=24150427 |doi=10.1097/BRS.0000000000000079 |url=}}</ref><ref name="pmid2967893">{{cite journal |vauthors=Deyo RA, Diehl AK |title=Cancer as a cause of back pain: frequency, clinical presentation, and diagnostic strategies |journal=J Gen Intern Med |volume=3 |issue=3 |pages=230–8 |date=1988 |pmid=2967893 |doi=10.1007/BF02596337 |url=}}</ref><ref name="pmid7987418">{{cite journal |vauthors= |title=Acute low back problems in adults: assessment and treatment. Agency for Health Care Policy and Research |journal=Clin Pract Guidel Quick Ref Guide Clin |volume= |issue=14 |pages=iii–iv, 1–25 |date=December 1994 |pmid=7987418 |doi= |url=}}</ref><ref name="pmid8542211">{{cite journal |vauthors=Underwood MR, Dawes P |title=Inflammatory back pain in primary care |journal=Br J Rheumatol |volume=34 |issue=11 |pages=1074–7 |date=November 1995 |pmid=8542211 |doi=10.1093/rheumatology/34.11.1074 |url=}}</ref><ref name="pmid19101212">{{cite journal |vauthors=Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS |title=Diagnostic validity of criteria for sacroiliac joint pain: a systematic review |journal=J Pain |volume=10 |issue=4 |pages=354–68 |date=April 2009 |pmid=19101212 |doi=10.1016/j.jpain.2008.09.014 |url=}}</ref> | |||
[[Back]] [[pain]] can also be classified on the basis of its underlying [[etiology]] into mechanical and non-mechanical:<ref name="pmid24150427">{{cite journal |vauthors=Sun JC, Xu T, Chen KF, Qian W, Liu K, Shi JG, Yuan W, Jia LS |title=Assessment of cauda equina syndrome progression pattern to improve diagnosis |journal=Spine (Phila Pa 1976) |volume=39 |issue=7 |pages=596–602 |date=April 2014 |pmid=24150427 |doi=10.1097/BRS.0000000000000079 |url=}}</ref><ref name="pmid2967893">{{cite journal |vauthors=Deyo RA, Diehl AK |title=Cancer as a cause of back pain: frequency, clinical presentation, and diagnostic strategies |journal=J Gen Intern Med |volume=3 |issue=3 |pages=230–8 |date=1988 |pmid=2967893 |doi=10.1007/BF02596337 |url=}}</ref><ref name="pmid7987418">{{cite journal |vauthors= |title=Acute low back problems in adults: assessment and treatment. Agency for Health Care Policy and Research |journal=Clin Pract Guidel Quick Ref Guide Clin |volume= |issue=14 |pages=iii–iv, 1–25 |date=December 1994 |pmid=7987418 |doi= |url=}}</ref><ref name="pmid8542211">{{cite journal |vauthors=Underwood MR, Dawes P |title=Inflammatory back pain in primary care |journal=Br J Rheumatol |volume=34 |issue=11 |pages=1074–7 |date=November 1995 |pmid=8542211 |doi=10.1093/rheumatology/34.11.1074 |url=}}</ref><ref name="pmid19101212">{{cite journal |vauthors=Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS |title=Diagnostic validity of criteria for sacroiliac joint pain: a systematic review |journal=J Pain |volume=10 |issue=4 |pages=354–68 |date=April 2009 |pmid=19101212 |doi=10.1016/j.jpain.2008.09.014 |url=}}</ref> | |||
{| class="wikitable" | {| class="wikitable" | ||
|''' | |'''Etiology'''||'''Diseases''' | ||
|- | |- | ||
|[[ | |Mechanical|| [[Cauda equina syndrome]], [[vertebral]] [[compression fracture]], [[radiculopathy]], [[spinal stenosis]], [[ankylosing spondylitis]], [[osteoarthritis]], [[scoliosis]], [[piriformis syndrome]], [[sacroiliac]] [[joint]] [[dysfunction]], [[lumbar strain]], [[herniated disc]] | ||
|- | |- | ||
| | |Non-mechanical||[[Multiple myeloma]] , [[retroperitoneal]] [[tumors]], [[psoriatic]] [[spondylitis]], [[reactive arthritis]], [[inflammatory bowel disease]], [[endometriosis]], [[chronic]] [[pelvic inflammatory disease]], [[pancreatitis]], [[cholecystitis]], [[nephrolithiasis]], [[pyelonephritis]], [[abdominal aortic aneurysm]], [[herpes zoster]], [[metastatic]] [[cancer]], [[spinal epidural abscess]], [[vertebral]] [[osteomyelitis]] | ||
|} | |} | ||
Latest revision as of 15:05, 1 April 2021
|
Back pain Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Lecture |
|
Case Studies |
|
Back pain classification On the Web |
|
American Roentgen Ray Society Images of Back pain classification |
|
Risk calculators and risk factors for Back pain classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2] Fahimeh Shojaei, M.D.
Overview
On the basis of origin, back pain can be broadly classified into three categories: axial, referred, and radicular. Back pain can also be classified on the basis of its underlying etiology into mechanical and non-mechanical.
Classification
- Back pain can be classified into three broad categories on the basis of its origin including axial, referred and radicular:[1]
| Origin | Distinguishing Feature |
| Axial Pain | Mechanical pain limited to one region. Could be sharp, dull, intermittent, throbbing, constant. |
| Referred Pain | Dull/achy pain that moves around and varies in intensity. |
| Radicular pain | Follows a spinal nerve pathway, mostly described as sensation of numbness, tingling, weakness. |
- Back pain can also be classified on the basis of its underlying etiology into mechanical and non-mechanical:[2][3][4][5][6]
References
- ↑ Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V; et al. (2019). "Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment". Curr Pain Headache Rep. 23 (3): 23. doi:10.1007/s11916-019-0757-1. PMID 30854609.
- ↑ Sun JC, Xu T, Chen KF, Qian W, Liu K, Shi JG, Yuan W, Jia LS (April 2014). "Assessment of cauda equina syndrome progression pattern to improve diagnosis". Spine (Phila Pa 1976). 39 (7): 596–602. doi:10.1097/BRS.0000000000000079. PMID 24150427.
- ↑ Deyo RA, Diehl AK (1988). "Cancer as a cause of back pain: frequency, clinical presentation, and diagnostic strategies". J Gen Intern Med. 3 (3): 230–8. doi:10.1007/BF02596337. PMID 2967893.
- ↑ "Acute low back problems in adults: assessment and treatment. Agency for Health Care Policy and Research". Clin Pract Guidel Quick Ref Guide Clin (14): iii–iv, 1–25. December 1994. PMID 7987418.
- ↑ Underwood MR, Dawes P (November 1995). "Inflammatory back pain in primary care". Br J Rheumatol. 34 (11): 1074–7. doi:10.1093/rheumatology/34.11.1074. PMID 8542211.
- ↑ Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS (April 2009). "Diagnostic validity of criteria for sacroiliac joint pain: a systematic review". J Pain. 10 (4): 354–68. doi:10.1016/j.jpain.2008.09.014. PMID 19101212.