Pseudospinal pain

Back and/or leg pain can be a symptom of diseases:

• Systemic
• Visceral
• Vascular
• Neurological disorders
• Pseudospinal pain is not uncommon

Abdominal aortic aneurysm

• 1-4% in the population over 50 years of age
• 1-2% of all men who die around age 65
• Abdominal pain radiating to the thighs
• 12% have back pain
• Diagnostics: ultrasound or CT

Endometriosis

• Reproductive age
• Pelvic pain
• Abdominal pain
• Back pain 25-31%
• Diagnostics: laparoscopy
• treatment: oral contraceptives, danazol (testosterone analogue)

Other disorders

• Fibromyalgia - 2%
• Trochanteric bursitis - 25%
• Inflammatory diseases of the pelvic organs
• Prostatitis
  • Lifetime frequency 50%
• Nephrolithiasis 3%
• Pancreatitis and pancreatic cancer
• Pain in the epigastrium radiating to the back

Infectious diseases of the spine

Osteomyelitis

• A Rare Cause of Back Pain
• 1:20,000 according to hospital statistics
• Most commonly caused by gram-positive cocci
• Urological infections are the most common cause
• Hematogenous spread (excluding vertebral injections)
• There is almost always back pain.

Discitis

• Osteomyelitis and/or hematogenous spread
• Surgical or diagnostic procedures

Infectious lesions of the spine

• Cervical - 8%
• Cervicothoracic <1%
• Chest - 35%
• Thoracolumbar - 8%
• Lumbar - 42%
• Lumbo-sacral - 7%
• Sacral <1%

Sources of spinal infections (in half of all cases cannot be determined)

• Genito-urinary tract - 46%
• Leather - 19%
• Respiratory tract - 14%
• Spine surgery - 9%
• Blood - 4%
• Intravenous infusions - 3%
• Teeth - 2%
• Bacterial endocarditis - 1%

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