Medical expert of the article

Orthopedist, onkoortoped, traumatologist

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Pseudospinal Pain

Alexey Portnov, medical expert
Last reviewed: 23.04.2024

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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%

trusted-source [1], [2]

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