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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.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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