Pseudospinal Pain

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%

[1], [2]