low%20back%20pain
LOW BACK PAIN
Treatment Guideline Chart
Low back pain is pain, stiffness, or discomfort in the lower back area below the costal margin and above the gluteal creases.
It is also called spinal pain or lumbago.
Non-specific low back pain is without identifiable specific causes and makes up 90-95% of all low back pain cases. 
Specific spinal pathology includes cauda equina syndrome, tumor, infection, ankylosing spondylitis, or inflammatory disorders.
Low back pain associated with radiculopathy or spinal stenosis is dermatomal pain with or without neurologic deficits that is most often caused by nerve root compression.

Low%20back%20pain Signs and Symptoms

Definition

  • Pain, stiffness, or discomfort in the lower back area below the costal margin or lowest rib and above the gluteal creases
  • Also called spinal pain or lumbago

Non-specific Low Back Pain

  • Low back pain without identifiable specific causes
  • Makes up 85-90% of all low back pain cases
  • Also includes pain felt in the proximal lower extremities

Specific Spinal Pathology

  • Patients with low back pain with associated mobility deficits caused by severe or progressive neurologic disorders or comorbidities
  • Specific spinal pathology includes cauda equina syndrome, tumor, infection, ankylosing spondylitis, inflammatory disorders

Low Back Pain Associated with Radiculopathy or Spinal Stenosis

  • Dermatomal pain with or without neurologic deficits
  • Most often caused by nerve root compression

Signs and Symptoms

Duration of Symptoms

Acute

  • Onset of symptoms <4 weeks

Subacute

  • Symptoms appeared 4-12 weeks prior to consult

Chronic

  • Onset of symptoms >12 weeks before consultation
  • Continuous or recurrent pain
    • Experience pain for at least half the days in the past 1 year in numerous episodes
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