Keywords
back pain, vertebral pain syndrome, non-vertebral pain syndrome, referred pains
How to Cite
Shevaga, V., Zadorozhna, B., Payenok, A., Semchyshyn, M., Zadorozhnyi, A., & Payenok, O. (2024). Differential diagnosis of back pain. The Practitioner, (1), 38-43. Retrieved from https://plr.com.ua/index.php/journal/article/view/796
Abstract
Back pain affects 40 to 80% of the world's population. The basis for providing assistance to this category of patients is timely and correct identification of the cause of pain, which can be vertebral (primary lesions of the spine and spinal cord of various origins) and non-vertebral, associated with damage to internal organs, so-called referred pains, which are projected onto the dermatome innervated by the same segment of the spinal cord as the affected organ. In order to correctly diagnose the cause of the pain syndrome, it is necessary to widely use modern diagnostic methods (MRI, CT of the whole body), not limiting oneself only to neurological examination, taking into account the patient's age, the course history of the disease, and the presence or history of previously suffered illnesses.
References
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11. Goubert D, Oosterwijck JV, Meeus M, Danneels L. Structural Changes of Lumbar Muscles in Non-specific Low Back Pain: A Systematic Review. Pain Physician. 2016 Sep-Oct;19(7):E985-E1000. PMID: 27676689.
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13. Battié MC, Joshi AB, Gibbons LE, ISSLS Degenerative Spinal Phenotypes Group. Degenerative Disc Disease: What is in a Name? Spine. 2019 Nov;44(21):1523-1529. DOI: 10.1097/brs.0000000000003103.
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2. Machado GC, Maher CG, Ferreira PH et al. Can Recurrence After an Acute Episode of Low Back Pain Be Predicted? Phys Ther. 2017;97(9):889-95. doi: 10.1093/ptj/pzx067.
3. de Souza IMB, Sakaguchi TF, Yuan SLK, Matsutani LA, do Espírito-Santo AS, Pereira CAB, Marques AP. Prevalence of low back pain in the elderly population: a systematic review. Clinics (Sao Paulo). 2019 Oct 28;74:e789. doi: 10.6061/clinics/2019/e789.
4. Taylor JB, Goode AP, George SZ, Cook CE. Incidence and risk factors for first-time incident low back pain: a systematic review and metaanalysis. Spine J. 2014 Oct 1;14(10):2299-319. doi: 10.1016/j.spine e.2014.01.026.
5. Зозуля ИС, Бредихин КО, Бредихин ОВ, Зозуля АИ. О сенсорно-мышечно-тоническом (миофасциальном) синдроме и его лечении. Міжнародний неврологічний журнал. 2009;6:66-71. (Zozulya IS, Bredikhin KO, Bredikhin OV, Zozulya AI. On the sensory-motor-tonic (myofascial) syndrome and its treatment. International Neurological Journal. 2009;6:66-71.) [Russian]
6. Lo J, Chan L, Flynn S. A Systematic Review of the Incidence, Prevalence, Costs, and Activity and Work Limitations of Amputation, Osteoarthritis, Rheumatoid Arthritis, Back Pain, Multiple Sclerosis, Spinal Cord Injury, Stroke, and Traumatic Brain Injury in the United States: A 2019 Update. Arch Phys Med Rehabil. 2021 Jan;102(1):115-131. doi: 10.1016/j.apmr.2020.04.001.
7. Trompeter K, Fett D, Platen P. Prevalence of Back Pain in Sports: A Systematic Review of the Literature. Sports Med. 2017 Jun;47(6):1183-1207. doi: 10.1007/s40279-016-0645-3.
8. Stubbs B, Koyanagi A, Thompson T, Veronese N, Carvalho AF, Solomi M, Mugisha J, Schofield P, Cosco T, Wilson N, Vancampfort D. The epidemiology of back pain and its relationship with depression, psychosis, anxiety, sleep disturbances, and stress sensitivity: Data from 43 low- and middle-income countries. Gen Hosp Psychiatry. 2016 Nov-Dec;43:63-70. doi: 10.1016/j.genhosppsych.2016.09.008.
9. Настанова 00435. Біль у попереку (DUODECIM Medical Publications, Ltd). https://guidelines.moz.gov.ua/documents/3292
10. Elder BD, Witham TF. Low Back Pain and Spondylosis. Semin Neurol. 2016 Oct;36(5):456-461. doi: 10.1055/s-0036-1585071.
11. Goubert D, Oosterwijck JV, Meeus M, Danneels L. Structural Changes of Lumbar Muscles in Non-specific Low Back Pain: A Systematic Review. Pain Physician. 2016 Sep-Oct;19(7):E985-E1000. PMID: 27676689.
12. Kos N, Gradisnik L, Velnar T. A Brief Review of the Degenerative Intervertebral Disc Disease. Med Arch. 2019 Dec;73(6):421-424. doi: 10.5455/medarh.2019.73.421-424.
13. Battié MC, Joshi AB, Gibbons LE, ISSLS Degenerative Spinal Phenotypes Group. Degenerative Disc Disease: What is in a Name? Spine. 2019 Nov;44(21):1523-1529. DOI: 10.1097/brs.0000000000003103.
14. Cunha C, Silva AJ, Pereira P, et al. The inflammatory response in the regression of lumbar disc herniation. Arthritis Research & Therapy. 2018 Nov;20(1):251. DOI: 10.1186/s13075-018-1743-4.
15. Goldberg JL, Garton A, Singh S, Kirnaz S, Sommer F, Carnevale JA, Atalay B, Medary B, McGrath LB Jr, Härtl R. Challenges in the Development of Biological Approaches for the Treatment of Degenerative Disc Disease. World Neurosurg. 2022 Jan;157:274-281. doi: 10.1016/j.wneu.2021.09.067.
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