Low back pain (LBP) is extremely common and is characterized by duration or associated symptoms
Duration
Acute (<6 weeks)
Subacute (>6 weeks but <3 months)
Chronic (>3 months...
Onset of pain (sudden or gradual)
Facet pain commonly radiates to sacroiliac joint/PSIS region.
Sacroiliac pain often refers to the thigh and can radiate below the knee.
Irritation, impi...
Physical ther...
Regular exercise
Strongly encourage patients to remain active.
Reassurance is important. Follow up within 2 to 4 weeks of initial presentation to ...
M54.5 Low back pain
G89.29 Other chronic pain
M53.3 Sacrococcygeal disorders, not elsewhere classified
M54.40 Lumbago with sciatica, uns...
Most cases resolve spontaneously within 4 to 12 weeks of onset.
Assess for red flag symptoms, such as bowel/bladder incontinence, history of cancer, or recent trauma.
Labs and imaging st...
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<bold>FIG. 63.2.</bold> Anteroposterior radiograph of the upper pelvis and lumbar spine. Both sacroiliac joints (<italic>large arrows</bold>) are fused (grade IV sacroiliitis), and there are bilateral, symmetric syndesmophytes (<italic>small arrow</bold>), resulting in the typical "bamboo" appearance of ankylosing spondylitis.
<bold>FIG. 63.2.</bold> Anteroposterior radiograph of the upper pelvis and lumbar spine. Both sacroiliac joints (<italic...
<bold><italic>FIGURE 9-44.</bold></bold> Lumbar spondylolysis. Imaging of the lumbar spine in four separate patients with low back pain, two with L4 spondylolysis <bold>(A,B,C,D,E)</bold> and two with L5 spondylolysis <bold>(F,G,H,I,J,K)</bold> demonstrates the multimodality approach to imaging when assessing for spondylolysis/spondylolisthesis. Conventional lumbar radiographs, including lateral and bilateral obliques (A,B,C) nicely demonstrate the bony break (<italic>arrows in A</bold>) within the region of the bilateral L...
<bold><italic>FIGURE 9-44.</bold></bold> Lumbar spondylolysis. Imaging of the lumbar spine in four separate patien...
Causes of Low Back Pain Sagittal View Labeled
FIG. 9 <bold>A:</bold> Low back pain with small contained prolapse, L-5 to S-1, and high signal-intensity zone at L4-5. <bold>B,C:</bold> Major concordant pain responses by clinical distention at each level.
FIG. 9 <bold>A:</bold> Low back pain with small contained prolapse, L-5 to S-1, and high signal-intensity zone at L4-5. <bo...