low%20back%20pain
LOW BACK PAIN
It is pain, stiffness, or discomfort in the lower back area below the costal margin and above the gluteal creases.
Low back pain is also called spinal pain or lumbago.
Nonspecific low back pain is without identifiable specific causes and makes up 90-95% of all low back pain cases.  It also includes pain felt in the proximal lower extremities.
Patients with low back pain may have mobility deficits caused by severe or progressive neurologic disorders or comorbidities.
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.

Surgical Intervention

Invasive Procedures

  • Lumbar discectomy
    • May be considered for patients with chronic low back pain due to lumbar disc prolapse, protrusion or extrusion, herniated lumbar discs 
  • Spinal fusion
  • Decompression surgery
    • For symptomatic spinal stenosis, lumbar disc herniation
  • Neuroreflexotherapy
    • May be considered for patients with moderate-severe chronic low back pain
  • Epidural/trigger point injections
    • May be considered for patients with chronic low back pain
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