Common Causes

What are the common causes of lower back pain?

It can be quite challenging for a physician to diagnose the exact cause of lower back pain. Pain and decreased range of motion are commonly the initial findings. The physician may check the patellar reflex and ankle jerk reflex — a weak tendon reflex at the knee would point to a nerve root compression in the spine. A missing ankle tendon reflex would point to a nerve compression in another area of the spine and would be associated with drop foot.

Common causes include:

• Lower back strain (facter joint disease) – common in 80% of cases;
• Degenerative disc and facet joint disease – common in older patients;
• Spondyloarthropathies – includes ankylosing spondylitis, psoriasis, ulcerative colitis, and Crohn’s disease;
• Osteoporosis – associated with compression fractures;
• Scoliosis (congenital S-shape curve of spine);
• Spinal stenosis (congenitally narrow spine canal or acquired from degenerative changes);
• Posttraumatic fibromyalgia – often following motor-vehicle accidents;
• Disc herniation (with or without sciatic) – Surgery required in less NFL Jerseys Cheap than 3% of cases;
• Spondylolisthesis and other congenital malformations – common in 1 to 3% of lower back pains;
• Bone metastases – commonly from prostate, breast, colorectal, uterine, cervical or ovarian cancer; and
• Rheumatic illnesses – include rheumatoid arthritis, and lupus, ankylosing spondylitis.

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