Back Pain

	Disorder		Symptoms		Physical Signs
	Sacroiliitis		Low back pain & buttock pain If severe may radiate to posterior thigh		Joint tenderness to palpation
	Iliolumbar Syndrome		Pain across back with referred leg pain		Tenderness/pain with lateral bending
	Myofascial (Quadratus Lumborum Muscle)		Back pain, hip, buttock, abdomen, or groin pain		Tenderness below and close to the 12th rib/side of spine
	Myofascial (Gluteus Medius Muscle)		Low back pain & buttock pain or pain w/(in)activity		Tenderness above hip with painful sensations along side of leg
	Myofascial (Piriformis Muscle)		Low back pain, groin, perineum, buttock, hip pain		Localized tenderness at tail-bone
	Facet Syndrome		Aching low back pain w/referred pain to leg		Increasing back pain w/bending
	Trochanteric Bursitis		Aching/burning back pain in high lateral of thigh		Tenderness/increasing back pain by lying on painful side
	Interspinous Ligamentous Syndrome		Widespread aching in trunk and pelvis; worse in A.M; chronic fatigue		Localized tender points ranging from neck muscles to chest wall, lower back, buttocks and knees

Disks are Mother Nature's shock absorbers located between the vertebrae.  A herniated disk is the pushing out of the disk out of its normal anatomical position. 

 

Herniated disks may cause headache, neck, arm, mid-back, chest wall, low back or leg pain and/or numbness. Usually patients will not need surgery for herniated disks. Either the herniated disk or leaking nucleus pulposis can cause irritation of the nerve roots passing near the disc. Disc's may herniate through vigorous physical activities, trauma, or just spontaneously.