Back Pain
Basics
Basics
Basics
Description
Description
- Low back pain (LBP):
- Refers to pain in the area between the lower rib cage and the gluteal folds, often with radiation into the thighs
- Sciatica:
- Pain in the distribution of the lower lumbar spinal roots
- May be accompanied by neurosensory and motor deficits
- Pain classification:
- Acute: <6 wk
- Subacute: 6–12 wk
- Chronic: >12 wk
Etiology
Etiology
- Nonspecific musculoligamentous source (great majority) (e.g., muscle, ligament, fascia)
- Herniation of the nucleus pulposus
- Degenerative joints or discs
- Spinal stenosis
- Anatomic abnormalities—especially spondylolisthesis
- Fractures from trauma and osteoporosis
- Underlying systemic diseases (minority):
- Neoplasm
- Infections
- Vascular (dissection, aneurysm, and thrombosis)
- Renal
- GI
- Pelvic organ pathology
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