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Pseudospinal Pain

Medical expert of the article

Orthopedist, onkoortoped, traumatologist
, medical expert
Last reviewed: 23.04.2024

Back pain and / or leg pain can be a symptom of ailments:

  • System
  • Visceral
  • The Vascular
  • Neurological disorders
  • Pseudospinal pain is not uncommon

Aneurysm of the abdominal aorta

  • 1-4% in the population older than 50 years
  • 1-2% for all men who died at the age of about 65 years
  • Abdominal pain with irradiation in the hip
  • In 12% of back pain
  • Diagnosis: ultrasound or CT scan

Endometriosis

  • Reproductive age
  • Pelvic pain
  • Abdominal pain
  • Back pain 25-31%
  • Diagnosis: Laparoscopy
  • treatment: oral contraceptives, danazol (testosterone analogue)

Other disorders

  • Fibromyalgia 2%
  • Trochanter bursitis - 25%
  • Inflammatory diseases of the pelvic organs
  • Prostatitis
    • The frequency during life is 50%
  • Nephrolithiasis 3%
  • Pancreatitis and pancreatic cancer
  • Pain in the epigastrium with irradiation in the back

Infectious diseases of the spine

Osteomyelitis

  • Rare cause of back pain
  • 1: 20,000 for hospital statistics
  • The most frequently caused by gram-positive cocci
  • Urologic infections are the most frequent cause
  • Hematogenous spread (excluding vertebral injection)
  • Almost always there is a pain in the back

Discitis

  • Osteomyelitis and / or hematogenous spread
  • Surgical or diagnostic procedures

Infectious lesions of the spine

  • Neck - 8%
  • Cervico-thoracic <1%
  • Thoracic - 35%
  • Chest-lumbar - 8%
  • Lumbar - 42%
  • Lumbosacral - 7%
  • Sacrificial <1%

Sources of vertebral infections (in half of all cases can not be established)

  • Genitourinary tract - 46%
  • Leather - 19%
  • Respiratory tract - 14%
  • Surgery of the spine - 9%
  • Blood - 4%
  • Intravenous infusions - 3%
  • Teeth - 2%
  • Bacterial endocarditis - 1%

trusted-source[1], [2]


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