Differential Diagnosis for Mobile Tender Region Right Lower Lumbar
Single Most Likely Diagnosis
- Musculoskeletal strain: This is the most common cause of lower lumbar pain, often resulting from overuse, poor posture, or direct injury to the muscles and ligaments in the lower back. The tenderness and mobility issues can be directly related to the strain on these tissues.
Other Likely Diagnoses
- Lumbar disc herniation: Herniation of the intervertebral disc can cause pain, tenderness, and limited mobility in the lower lumbar region due to nerve compression or irritation.
- Degenerative disc disease: Wear and tear on the spinal discs can lead to pain and tenderness, especially with movement, as the discs lose their cushioning ability.
- Lumbar facet joint syndrome: Inflammation or injury to the facet joints in the lumbar spine can cause pain and stiffness, particularly with certain movements.
Do Not Miss Diagnoses
- Appendicitis: Although less common, appendicitis can sometimes present with lower lumbar pain, especially if the appendix is located in a retrocecal position. Missing this diagnosis can lead to severe consequences, including perforation and peritonitis.
- Kidney stones or pyelonephritis: Pain from kidney stones or infection can radiate to the lower back and may be associated with tenderness. These conditions require prompt medical attention to prevent complications.
- Osteomyelitis or discitis: Infections of the bone or disc can cause severe pain, tenderness, and limited mobility. Early diagnosis is crucial to prevent long-term damage.
Rare Diagnoses
- Spinal tumors: Both benign and malignant tumors can cause pain and tenderness in the lumbar region, often accompanied by other symptoms such as weight loss or neurological deficits.
- Spondylolisthesis: A condition where one vertebra slips forward over the bone below it, which can cause lower back pain and tenderness, especially with movement.
- Epidural abscess: A rare but serious condition where an abscess forms in the epidural space surrounding the spinal cord, requiring immediate medical attention to prevent neurological damage or sepsis.