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Chapter-08 Back Pain

BOOK TITLE: Clinical Neurology Made Easy

Author
1. Srinivas HV
ISBN
9789352702510
DOI
10.5005/jp/books/14202_9
Edition
1/e
Publishing Year
2018
Pages
5
Author Affiliations
1. Agadi Hospital and Sagar Hospital, Bengaluru; Narayana Institute of Neurosciences, Bengaluru, Karnataka, India, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
Chapter keywords
Back pain, OPD, lumbar spondylosis, postural back pain, backache, lumbar radiculopathy, disk floating, acute low back pain, chronic low back pain

Abstract

Back pain is a common symptom seen in the OPD and equally commonly mismanaged. The usual trend is to immediately ask for MR Lumbosacral spine, and diagnose it as lumbar spondylosis. Lumbar spondylosis is not a disease but age related degenerative changes, like balding of the head and greying of hair. The radiological changes are observed almost invariably after the age of 50 years. The imaging findings may also include disk prolapse of varying degrees (in 30–40% of normal adults) and also sequestered disk floating in the lumbar canal displacing the roots without producing any clinical correlates. Types of back pain are postural back pain, backache as a part of somatization, lumbar spondylosis, and lumbar radiculopathy are briefly explained in this chapter.

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