Complicated Low Back Pain

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a year ago
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specialty:
Orthopedics

Case description

This video dives deep into the intricate nuances of complicated low back pain. We uncover that in approximately 85% of cases, the cause remains elusive, but most patients find relief within 3 months. However, a myriad of potential sources could be at play, from referred pain from various regions like the hip to serious conditions like aortic aneurysms. We spotlight crucial scenarios to watch out for:


Cauda equina syndrome: characterized by leg pain and bladder/bowel disturbances.Progressive neurological deficits: requiring detailed imaging.Gait disturbances: suggesting potential cervical myelopathy.Impact of Worker's Compensation claims on surgical outcomes.The role of smoking and its detrimental effect on disc nutrition and fusion healing.Complications with conditions like ankylosing spondylitis and osteoporotic fractures.The intersection of depression and post-surgery outcomes.Anticoagulation post-surgery considerations.Identifying and treating neurogenic claudication in lumbar stenosis cases.

tags: low back pain Cauda Equina Syndrome Neurological Deficits cervical myelopathy Ankylosing Spondylitis Osteoporotic Fractures Lumbar stenosis


Maciej Dobosz
Editor

Maciej Dobosz

MD

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