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Pseudospinal pain
Medical expert of the article
Last reviewed: 08.07.2025
Back and/or leg pain can be a symptom of diseases:
- Systemic
- Visceral
- Vascular
- Neurological disorders
- Pseudospinal pain is not uncommon
Abdominal aortic aneurysm
- 1-4% in the population over 50 years of age
- 1-2% of all men who die around age 65
- Abdominal pain radiating to the thighs
- 12% have back pain
- Diagnostics: ultrasound or CT
Endometriosis
- Reproductive age
- Pelvic pain
- Abdominal pain
- Back pain 25-31%
- Diagnostics: laparoscopy
- treatment: oral contraceptives, danazol (testosterone analogue)
Other disorders
- Fibromyalgia - 2%
- Trochanteric bursitis - 25%
- Inflammatory diseases of the pelvic organs
- Prostatitis
- Lifetime frequency 50%
- Nephrolithiasis 3%
- Pancreatitis and pancreatic cancer
- Pain in the epigastrium radiating to the back
Infectious diseases of the spine
Osteomyelitis
- A Rare Cause of Back Pain
- 1:20,000 according to hospital statistics
- Most commonly caused by gram-positive cocci
- Urological infections are the most common cause
- Hematogenous spread (excluding vertebral injections)
- There is almost always back pain.
Discitis
- Osteomyelitis and/or hematogenous spread
- Surgical or diagnostic procedures
Infectious lesions of the spine
- Cervical - 8%
- Cervicothoracic <1%
- Chest - 35%
- Thoracolumbar - 8%
- Lumbar - 42%
- Lumbo-sacral - 7%
- Sacral <1%
Sources of spinal infections (in half of all cases cannot be determined)
- Genito-urinary tract - 46%
- Leather - 19%
- Respiratory tract - 14%
- Spine surgery - 9%
- Blood - 4%
- Intravenous infusions - 3%
- Teeth - 2%
- Bacterial endocarditis - 1%
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