Back pain: Difference between revisions

	Back pain Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Back Pain from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
Echocardiography and Ultrasound
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Non-Medical Therapy
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Lecture
Back Pain
Case Studies
Case #1
Back pain On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Back pain All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Back pain
CDC on Back pain
Back pain in the news
Blogs on Back pain
Directions to Hospitals Treating Back pain
Risk calculators and risk factors for Back pain

← Older edit

VisualWikitext

Latest revision as of 15:20, 18 February 2024

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Hadeel Maksoud M.D.[2], Cafer Zorkun, M.D., Ph.D. [3], M.Umer Tariq [4] Zehra Malik, M.B.B.S [5]

Synonyms and keywords: Backache; backache; notalgia; dorsalgia

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Back Pain from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Treatment

Lecture

Back Pain

Case Studies

Case #1

References

Related Chapters

Template:Diseases of the musculoskeletal system and connective tissue

Template:WikiDoc Sources

@@ Line 1: / Line 1: @@
 __NOTOC__
+{| class="infobox" style="float:right;"
+|-
+|[[File:Siren.gif|30px|link={{PAGENAME}} resident survival guide]]||<br>||<br>
+|[[{{PAGENAME}} resident survival guide|Resident<br>Survival<br>Guide]]
+|}
 '''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
-{{Infobox_Disease |
-  Name           = {{PAGENAME}} |
-  Image          = Spinal column curvature.png |
-  Caption        = Different regions (curvatures) of the vertebral column |
-  DiseasesDB     = 15544 |
-  ICD10          = {{ICD10|M|54||m|50}} |
-  ICD9           = {{ICD9|724.5}} |
-  ICDO           = |
-  OMIM           = |
-  MedlinePlus    = |
-  MeshID         = D001416 |
-}}
 {{Back pain}}
-{{CMG}}; [[User:Bobby Schwartz|Robert G. Schwartz, M.D.]] [mailto:RGSHEAL@aol.com], [http://www.piedmontpmr.com Piedmont Physical Medicine and Rehabilitation, P.A.]; '''Associate Editor-In-Chief:''' {{CZ}}, {{MUT}}
+{{CMG}}; '''Associate Editor-In-Chief:''' {{HM}}, {{CZ}}, {{MUT}} {{ZMalik}}
-{{SK}} Lumbago; backache; dorsalgia
+{{SK}} Backache; backache; notalgia; dorsalgia
-==Underlying causes==
+==[[Back pain overview|Overview]]==
-Transient back pain is likely one of the first symptoms of [[influenza]].
-Muscle strains (pulled muscles) are commonly identified as the cause of back pain, as are muscle imbalances. Pain from such an injury often remains as long as the muscle imbalances persist. The muscle imbalances cause a mechanical problem with the skeleton, building up pressure at points along the spine, which causes the pain. [[Ligament]] strain is a very common cause of back pain as well [http://wehelpwhathurts.homestead.com/ligamentpain.html].
+==[[Back pain historical perspective|Historical Perspective]]==
-Another cause of acute low back pain is a Meniscoid Occlusion. The more mobile regions of the spine have invaginations of the synovial membrane that act as a cushion to help the bones move over each other smoothly. The synovial membrane is well supplied with blood and nerves. When it becomes pinched or trapped it can cause sudden severe pain. The pinching causes the membrane to become inflamed, causing greater pressure and ongoing pain. Symptoms include severe low back pain that may be accompanied by muscle spasm, pain with walking, concentration of pain to one side, and no [[radiculopathy]] (radiating pain down buttock and leg).  Relief should be felt with flexion (bending forward),and exacerbated with extension (bending backward).
+==[[Back pain classification|Classification]]==
-When back pain lasts more than three months, or if there is more radicular pain ([[sciatica]]) than back pain, a more specific [[diagnosis]] can usually be made. There are several common causes of back pain: for adults under age 50, these include [[ligament]] strain, nerve root irritation, [[spinal disc herniation]] and [[degenerative disc disease]] or isthmic spondylolisthesis; in adults over age 50, common causes also include [[Osteoarthritis|osteoarthritis (degenerative joint disease)]] and [[spinal stenosis]] [http://www.spine-health.com/topics/cd/tlbp/type01.html],trauma, cancer, infection, fractures, and inflammatory disease [http://www.ninds.nih.gov/disorders/backpain/backpain.htm].  Non-anatomical factors can also contribute to or cause back pain, such as [[Stress (medicine)|stress]], repressed anger,[http://www.prevention.com/article/0,5778,s1-1-77-24-928-1,00.html] or [[depression (mood)|depression]]. Even if there is an anatomical cause for the pain, if depression is present it should also be treated concurrently.
+==[[Back pain pathophysiology|Pathophysiology]]==
+==[[Back pain causes|Causes]]==
-New attention has been focused on ''non-discogenic back pain'', where patients have normal or near-normal MRI and CT scans.  One of the newer investigations looks into the role of the [[dorsal ramus]] in patient's pain that have normal radiographic evidence.  See [[Posterior Rami Syndrome]]. [[Diagnostic musculoskeletal ultrasonography]] has been shown to be helpful in objectifying multifidus atropy.
+==[[Back pain differential diagnosis|Differentiating Back Pain from other Diseases]]==
-==Back Pain During Pregnancy==
+==[[Back pain epidemiology and demographics|Epidemiology and Demographics]]==
-About 50% of women experience low back pain during pregnancy.<ref>Ostgaard HC, Andersson GBJ, Karlsson K. Prevalence of back pain in pregnancy. Spine 1991;16:549-52.</ref>
+==[[Back pain risk factors|Risk Factors]]==
-Back pain in pregnancy may be severe enough to cause significant pain and disability and pre-dispose patients to back pain in a following pregnancy. No significant increased risk of back pain with pregnancy has been found with respect to maternal weight gain, exercise, work satisfaction, or pregnancy outcome factors such as birth weight, birth length, and Apgar scores.
+==[[Back pain screening|Screening]]==
-Biomechanical factors of pregnancy that are shown to be associated with low back pain of pregnancy include abdominal sagittal and transverse diameter and the depth of lumbar lordosis. Typical factors aggravating the back pain of pregnancy include standing, sitting, forward bending, lifting, and walking. Back pain in pregnancy may also be characterized by pain radiating into the thigh and buttocks, night-time pain severe enough to wake the patient, pain that is increased during the night-time, or pain that is increased during the day-time.
+==[[Back pain natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
-The avoidance of high impact, weight-bearing activities and especially those that asymmetrically load the involved structures such as: extensive twisting with lifting, single-leg stance postures, stair climbing, and repetitive motions at or near the end-ranges of back or hip motion can ease the pain.
+==Diagnosis==
-Direct bending to the ground without bending the knee causes severe impact on the lower back in pregnancy and in normal individuals, which leads to strain, especially in the lumbo-saccral region that in turn strains the multifidus.
+[[Back pain diagnostic study of choice|Diagnostic study of choice]] | [[Back pain history and symptoms|History and Symptoms]] | [[Back pain physical examination|Physical Examination]] | [[Back pain laboratory findings|Laboratory Findings]] | [[Back pain electrocardiogram|Electrocardiogram]]| [[Back pain x ray|X Ray]] | [[Back pain echocardiography and ultrasound|Echocardiography and ultrasound]] | [[Back pain CT|CT]] | [[Back pain MRI|MRI]] | [[Back pain ultrasound|Ultrasound]] | [[Back pain other imaging findings|Other Imaging Findings]] | [[Back pain other diagnostic studies|Other diagnostic studies]] | [[Back pain other diagnostic studies|Other Diagnostic Studies]]
+==Treatment==
+[[Back pain medical therapy|Medical Therapy]] | [[Back pain surgery|Surgery]] | [[Back pain primary prevention|Primary Prevention]] | [[Back pain secondary prevention|Secondary Prevention]] | [[Back pain cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Back pain future or investigational therapies|Future or Investigational Therapies]] | [[Back pain monitoring response to therapy| Monitoring Response to Therapy]]
+==Lecture==
+[[Media:Back Pain.ppt|Back Pain]]
+==Case Studies==
+[[Back pain case study one|Case #1]]
-==See also==
-* [[Failed back syndrome]]
-* [[Low back pain]]
-* [[Posterior Rami Syndrome]]
-* [[Tension myositis syndrome]]
-* [[Upper back pain]]
-* [[Pelvic girdle pain | Pregnancy related pelvic girdle pain]]
 ==References==
-{{Reflist|2}}
+<references />
+==Related Chapters==
-==External links==
+*[[Failed back syndrome]]
+*[[Low back pain]]
+*[[Posterior Rami Syndrome]]
+*[[Tension myositis syndrome]]
+*[[Upper back pain]]
+*[[Pelvic girdle pain | Pregnancy related pelvic girdle pain]]
-* [http://www.ascent-oxford.kramesonline.com/HealthSheets/AlphaList.pg?Letter=b Back Pain - Information for Patients]
-* [http://search.dmoz.org/cgi-bin/search?search=back+pain Back pain] at the [[Open Directory Project]]
-* {{NINDS|backpain}}
-* [http://www.niams.nih.gov/hi/topics/pain/backpain.htm Handout on Health: Back Pain] at [[National Institute of Arthritis and Musculoskeletal and Skin Diseases]]
-* [http://www.spine-health.com Back Pain Information for Patients: Spine-health.com]
-* [http://www.backpainguide.com  Patient's guide to back pain]
-* [http://www.nlm.nih.gov/medlineplus/backpain.html  Back pain, on Medline plus, a service of the National Library of Medicine]
 {{Diseases of the musculoskeletal system and connective tissue}}
-[[de:Rückenschmerzen]]
 [[es:Espalda#Dolor de espalda]]
 [[fr:mal de dos]]
-[[it:Dorsopatia]]
-[[nl:Rugpijn]]
 [[pt:Dor nas costas]]
-[[simple:back pain]]
+{{WikiDoc Help Menu}}
+{{WikiDoc Sources}}
 [[Category:Pain]]
 [[Category:Orthopedics]]
 [[Category:Rheumatology]]
+[[Category:Symptoms]]
 [[Category:Signs and symptoms]]
 [[Category:Neurology]]
 [[Category:Emergency medicine]]
-[[Category:Primary care]]
 [[Category:Neurosurgery]]
+[[Category:Disease]]
-{{WikiDoc Help Menu}}
-{{WikiDoc Sources}}

Back pain: Difference between revisions

Latest revision as of 15:20, 18 February 2024

Diagnosis

Treatment

Lecture

Case Studies

References

Related Chapters

Navigation menu

Search