Differential Diagnosis for Non-Traumatic Low Back Pain
Single Most Likely Diagnosis
- Musculoskeletal strain: This is the most common cause of non-traumatic low back pain, often resulting from overuse, poor posture, or sudden awkward movements. It affects the muscles and ligaments in the back.
Other Likely Diagnoses
- Herniated disc: A condition where the soft inner gel of the disc leaks out through a tear in the outer layer, putting pressure on nerves and causing pain.
- Degenerative disc disease: A condition where the spinal discs lose their cushioning ability and can cause pain due to the reduced space between the vertebrae.
- Spondylosis: A defect in the pars interarticularis, the thin piece of bone that connects the superior and inferior articular facets of the spine, which can lead to low back pain.
- Osteoarthritis: Wear and tear of the spinal joints, leading to pain and stiffness in the lower back.
Do Not Miss Diagnoses
- Cauda equina syndrome: A serious condition where the nerves in the spinal canal are compressed, leading to severe pain, numbness, and potentially permanent nerve damage if not promptly treated.
- Spinal infection (e.g., osteomyelitis, discitis): Infections of the spine that can cause severe pain and have serious consequences if not treated promptly.
- Spinal tumor: Abnormal cell growth in the spine, which can compress nerves and cause pain.
- Abdominal aortic aneurysm: A bulge in the main blood vessel that leads from the heart and passes through the abdomen, which can cause back pain if it ruptures.
Rare Diagnoses
- Spondylolisthesis: A condition where one of the vertebrae slips forward over the bone below it, which can cause low back pain.
- Paget's disease of bone: A chronic condition that can result in enlarged and misshapen bones, leading to pain and potential nerve compression.
- Osteoporotic compression fracture: A fracture in a vertebra caused by osteoporosis, leading to sudden back pain.
- Inflammatory diseases (e.g., ankylosing spondylitis): Chronic inflammatory diseases that can cause pain and stiffness in the lower back.