Back Pain

Types of Back Pain:

 

Disc Pain

 

Disc pain may occur when a patient has a symptomatic degenerated disc (one that causes neck, mid or low back pain or other symptoms). It is the disc itself that is painful and is the source of pain. This type of pain is typically called axial pain.

 

Herniated Disk

 

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, lower 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. Usually patients will not need surgery for herniated disks.

 

Tail-bone Pain, Coccydynia

 

Coccydynia is pain in the area of the coccyx (tail-bone). Coccydynia may be caused by direct pressure from sitting, trauma to the area, or muscle spasms in the pelvic floor region. To resolve the persistent pain not amenable to conservative treatment often ganglion of impar, coccygeal, and hypogastric plexus nerve blocks are needed.

 

 

Disorder

Symptoms

Physical Signs

SacroiliitisLow back pain & buttock pain If severe may radiate to posterior thighJoint tenderness to palpation
Iliolumbar SyndromePain across back with referred leg painTenderness/pain with lateral bending
Myofascial (Quadratus Lumborum Muscle)Back pain, hip, buttock, abdomen, or groin painTenderness below and close to the 12th rib/side of spine
Myofascial (Gluteus Medius Muscle)Low back pain & buttock pain or pain w/(in)activityTenderness above hip with painful sensations along side of leg
Myofascial (Piriformis Muscle)Low back pain, groin, perineum, buttock, hip painLocalized tenderness at tailbone
Facet SyndromeAching low back pain pain w/referred pain to legIncreasing back pain w/bending
Trochanteric BursitisAching/burning back pain in high lateral of thighTenderness/increasing back pain by lying on painful side
Interspinous Ligamentous SyndromeWidespread aching in trunk and pelvis; worse in A.M; chronic fatigueLocalized tender points ranging from neck muscles to chest wall, lower back, buttocks and knees

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