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Differential diagnosis. low back pain. Waddell's signs are a group of physical signs, first described in a 1980 article in Spine, and named for the article's principal author, Professor Gordon Waddell (1943–2017), a Scottish Orthopedic Surgeon. [ 1][ 2] Waddell's signs may indicate non-organic or psychological component to chronic low back pain.
Piriformis syndrome is a condition which is believed to result from nerve compression at the sciatic nerve by the piriformis muscle. [ 2][ 5] It is a specific case of deep gluteal syndrome. [ 6] The largest and most bulky nerve in the human body is the sciatic nerve. Starting at its origin it is 2 cm wide and 0.5 cm thick.
Frequency. ~25% in any given month [ 7][ 8] Low back pain or lumbago is a common disorder involving the muscles, nerves, and bones of the back, in between the lower edge of the ribs and the lower fold of the buttocks. Pain can vary from a dull constant ache to a sudden sharp feeling. [ 4]
Lumbar spinal stenosis can cause pain in the low back or buttocks, abnormal sensations, and the absence of sensation (numbness) in the legs, thighs, feet, or buttocks, or loss of bladder and bowel control. The precise cause of LSS is unclear. Narrowing of spinal structures in the spinal cord such as the central canal, the lateral recesses, or ...
A spinal disc herniation is an injury to the intervertebral disc between two spinal vertebrae, usually caused by excessive strain or trauma to the spine. It may result in back pain, pain or sensation in different parts of the body, and physical disability. The most conclusive diagnostic tool for disc herniation is MRI, and treatment may range ...
Bertolotti's syndrome is a commonly missed cause of back pain which occurs due to lumbosacral transitional vertebrae (LSTV). It is a congenital condition but is not usually symptomatic until one's later twenties or early thirties. [ 1] However, there are a few cases of Bertolotti's that become symptomatic at a much earlier age.
Dysfunction of the superior cluneal nerves is often due to entrapment as the nerves cross the iliac crest – this can result in numbness, tingling or pain in the low back and upper buttocks region. Superior cluneal nerve dysfunction is a clinical diagnosis that can be supported by diagnostic nerve blocks. [1]
Discipline. Musculoskeletal Medicine, Pain Medicine. Nikolai Bogduk AM is a retired Australian anatomist, and emeritus professor of the University of Newcastle Bone & Joint Institute, Australia. [1] His research and publications were primarily on the anatomical sources and causes of chronic spinal pain and headache, as well as the development ...