Advertisement
 

doctorslounge.com

 
Powered by
Careerbuilder

 

                    Home  |  Forums  |  Humor  |  Advertising  |  Contact
   Ask a Doctor

   News via RSS

   Newsletter

   Rheumatology

   News

 

 Conferences


   CME

   Forum Archives

   Diseases

   Symptoms

   Labs

   Procedures

   Drugs

   Links
   Specialties

   Cardiology

   Dermatology

   Endocrinology

   Fertility

   Gastroenterology

   Gynecology

   Hematology

   Infections

   Nephrology

   Neurology

   Oncology

   Orthopedics

   Pediatrics

   Pharmacy

   Primary Care

   Psychiatry

   Pulmonology

   Rheumatology

   Surgery

   Urology

   Other Sections

   Membership

   Research Tools

   Medical Tutorials

   Medical Software

 

 Headlines:

 
 

Low back pain

Low back pain is one of the commonest physical complaints and is a major cause of lost work time. Most back pain is benign and the majority recover within 3 months. Chronic back pain lasts longer than 3 months. However, only 5 percent have a serious underlying cause.

i. Exclude spinal causes of back pain

Neurological examination includes motor, sensory and reflex exam of the lower limbs.

If low back pain is accompanied by a deficit then request urgent imaging (x-ray, CT or MRI) to the lumbosacral region.

  • Abdominal aortic aneurysm
  • Disc herniation / rupture
  • Vertebral compression fracture
  • Spinal tumors
  • Spinal abscess
  • Lumbosacral strain

ii. Exclude abdominal causes of back pain

Abdominal examination

  • Peptic ulcer
  • Pancreatitis

iii. Exclude rectal / pelvic causes of back pain

PR, pelvic examination

  • Pregnancy
  • Pelvic inflammatory disease
  • Pelvic abscess
  • Pelvic infection
  • Endometriosis
  • Pelvic tumors
  • Prostatitis
advertisement.gif (61x7 -- 0 bytes)
 

Are you a doctor or a nurse?

Do you want to join the Doctors Lounge online medical community?

Participate in editorial activities (publish, peer review, edit) and give a helping hand to the largest online community of patients.

Click on the link below to see the requirements:

Doctors Lounge Membership Application


iv. Low back without abnormality on examination

Request X-ray, CT, MRI to the LSS and if necessary to the abdomen and pelvis

Local bony disease:

  • Disc herniation
  • Osteoarthritis
  • Compression fracture
  • Ankylosing spondylitis
  • Spondylolisthesis
  • Hemangioma
  • Osteosarcoma
  • Neural tumors
  • Osteoid osteoma
  • Aneurysmal bone cyst
  • Spinal TB

Generalized disease affecting the bone:

  • Osteomalacia
  • Osteoporosis
  • Hyperparathyroidism
  • Ochronosis
  • Paget's disease
  • Multiple myeloma
  • Metastasis

Abdominal disease:

  • Pancreatitis
  • Retroperitoneal tumor
  • Peptic ulcer

Others:

  • Lumbosacral strain
  • Herpes zoster
  • Chronic pain syndrome
  • Polymayalgia rheumatica
  • Familial Mediterranean fever
previous.gif (72x17 -- 347 bytes) next.gif (72x17 -- 277 bytes)
 

 advertisement.gif (61x7 -- 0 bytes)

 

 



We subscribe to the HONcode principles of the HON Foundation. Click to verify.
We subscribe to the HONcode principles. Verify here

Privacy Statement | Terms & Conditions | Editorial Board | About us
Copyright 2001-2012 DoctorsLounge. All rights reserved.