Low back pain

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Differential Diagnosis

  • Mechanical
    • Muscle sprain or strain
    • Compression fracture
    • Traumatic fracture
    • Disc herniation
    • Facet joint arthropathy
  • Inflammatory
    • Spondyloarthropathy
      • Ankylosing spondylitis
      • Psoriatic arthritis
      • Enteropathic arthritis
      • Reactive arthritis
  • Infectious
    • Epidural abscess
    • Osteomyelitis/discitis
    • Intra-abdominal abscess
    • Pyelonephritis
  • Referred pain
    • Pancreatitis
    • Renal stones
    • Aortic aneurysm

Red Flags

  • Neurological deficits
    • Bowel or bladder dysfunction
    • Weakness
    • Numbness or tingling, especially as a sensory level
    • Perianal numbness
  • Infection
    • Fever
    • IVDU
    • Tuberculosis
    • Rigors, chills, or drenching night sweats
  • Fracture
  • Tumours
    • History of malignancy
    • Weight loss
    • Anorexia
    • Fatigue
  • Intravenous drug use