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Sudden-Onset Back Pain or Limitation of Movement occurring within seconds to hours

Writer's picture: EditorEditor

Updated: Sep 20, 2024

CLINICAL DIAGNOSTIC MANUAL



Sudden-onset back pain or limitation of movement, occurring within seconds to hours, is a common issue that can significantly impact patients’ quality of life. This type of pain can result from various conditions affecting the spine, intervertebral discs, and surrounding musculoskeletal structures. Accurate identification of the underlying cause is crucial to provide appropriate treatment and prevent long-term complications.

Condition

Symptoms and Clinical Signs

Suspected Diagnosis

Confirmatory Diagnosis

Mechanical Back Pain

Localised low back pain, worsens with physical activity and improves with rest

History of recent physical exertion, pain related to movement

Clinical evaluation, typically no additional tests needed

Posterior Lumbar Disc Prolapse

Acute low back pain, pain radiating to one or both legs (sciatica), weakness, paraesthesia

History of acute pain with radiation, worsens with spinal flexion

MRI showing posterior disc herniation

Anterior Lumbar Disc Prolapse

Localised low back pain, less commonly radiates to the legs

History of sudden-onset pain without significant radiation

MRI showing anterior disc herniation

Spondylolisthesis

Low back pain, sensation of instability, radiating leg pain, may worsen with standing or walking

History of chronic pain with acute episodes, signs of vertebral instability

X-rays with dynamic views showing vertebral displacement, MRI to assess soft tissues

Central Intervertebral Disc Protrusion

Central low back pain, possible spinal cord compression, weakness, sensory changes

History of severe central pain, neurological symptoms

MRI showing central disc protrusion


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