5-Minute Emergency Consult
Back Pain
Back Pain is a topic covered in the 5-Minute Emergency Consult.
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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
-- To view the remaining sections of this topic, please log in or purchase a subscription --
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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Citation
Schaider, Jeffrey J., et al., editors. "Back Pain." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307062/all/Back_Pain.
Back Pain. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307062/all/Back_Pain. Accessed February 4, 2023.
Back Pain. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307062/all/Back_Pain
Back Pain [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2023 February 04]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307062/all/Back_Pain.
* Article titles in AMA citation format should be in sentence-case
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ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
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PB - Lippincott Williams & Wilkins
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DB - Emergency Central
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