Differential Diagnosis

Back Pain Breakthrough

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A. Infectious Diseases. Bacterial osteomyelitis, rarely including tuberculosis; diskitis, either infectious or noninfectious; epidural abscess; or psoas abscess, which may present with limp and back pain.

B. Parainfectious Diseases. Includes transverse myelitis, demyeli-nating disorders, and radiculopathies that occasionally start with pain.

C. Trauma or Structural Causes. Spondylolysis, spondylolisthesis, Scheuermann disease, intervertebral disk herniation, compression fractures, or diastematomyelia (tethered cord).

D. Mass Lesions. Primary bone tumors (osteoid osteoma, aneurys-mal bone cyst, eosinophilic granuloma, Ewing sarcoma, neurob-lastoma); intraspinal tumors (lipoma, cysts, neurofibroma).

E. Inflammatory Conditions. Ankylosing spondylitis, Reiter syndrome, or disk calcification (usually cervical).

F. Referred Pain. Usually from the abdomen (appendicitis, pyelonephritis, gallbladder disease, endometriosis).

G. Metabolic Alterations. Hemolytic anemia, storage disease (Gaucher disease), or osteoporosis.

H. Conversion or Psychogenic Disorders. Less common in children, but gait disturbance, headache, abdominal pain, and fatigue may accompany back pain in patients with these disorders.

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Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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