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back pain

Also see low back pain. Etiology: 1) myofascial/non-specific back symptoms - heavy back packs [6] 2) sciatica 3) potentially serious underlying condition a) fractures b) tumors c) infection (pyelonephritis) d) urinary calculus e) cauda equina syndrome Clinical manifestations: -> serious etiologies (RED FLAG symptoms) a) bowel & bladder incontinence b) saddle anesthesia c) pain that is worse in the supine than upright position d) severe progressive lower extremity neurological deficit Management: 1) see low back pain 2) see ergonomics 3) see specific etiology

Related

causes of myofascial back pain

Specific

flank pain low back pain (LBP) spine pain

General

pain [odyn-]

References

  1. nlmpubs.nlm.nih.gov/hstat/ahcpr/
  2. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
  3. Martell BA et al, Opioid treatment for chronic back pain, Prevalence, efficacy and association with addiction. Ann Intern Med 2007, 146:116 PMID: 17227935
  4. Martin BI et al, Expenditures and health status among adults with back and neck problems. JAMA 2008, 299:656 PMID: 18270354
  5. Garra G et al. Heat or cold packs for neck and back strain: A randomized controlled trial of efficacy. Acad Emerg Med 2010 May; 17:484. PMID: 20536800
  6. Rodriquez-Oviedo P et al. School children's backpacks, back pain and back pathologies. Arch Dis Child 2012 Mar 10 PMID: 22408188 http://adc.bmj.com/content/early/2012/02/24/archdischild-2011-301253
  7. Sieper J, van der Heijde D, Landewe R et al New criteria for inflammatory back pain in patients with chronic back pain: a real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann Rheum Dis. 2009 Jun;68(6):784-8. PMID: 19147614
  8. Broder J, Snarski JT. Back pain in the elderly. Clin Geriatr Med. 2007 May;23(2):271-89, v. Review. PMID: 17462517
  9. Brooks M FDA OKs Spinal Cord Stimulation Devices for Chronic Back Pain. Medscape. May 16, 2023 https://www.medscape.com/viewarticle/992053
  10. Complementary and Alternative Therapies for Back Pain II Agency for Healthcare Research and Quality http://www.ahrq.gov/clinic/tp/backcam2tp.htm
  11. NINDS Back Pain Information Page https://www.ninds.nih.gov/Disorders/All-Disorders/Back-Pain-Information-Page - Maintain a Healthy Back http://www.nih.gov/od/ors/ds/ergonomics/wellbackhealth.html - Maintaining a Health Back with Exercise & Rest http://www.nih.gov/od/ors/ds/ergonomics/backstrength.html