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Low Back Pain History

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  1. See Also
    1. Serious Low Back Symptoms
  2. Symptoms: Low Back Pain Onset
    1. Onset
      1. Acute Low Back Pain onset within 3 months
      2. Chronic Low Back Pain persistent beyond 3 months
    2. Follows Trauma, bending, or lifting
      1. Suggests Lumbar Disc Disease
    3. Morning back stiffness with pain before age 40
      1. Suggests Spondyloarthropathy
  3. Symptoms: Low Back Pain Location and Radiation
    1. Leg
    2. Buttock
    3. Abdomen
    4. Spine
  4. Symptoms: Low Back Pain Provocation
    1. Prolonged sitting provokes pain
      1. Lumbar Disc Disease
    2. Valsalva (cough, sneeze, or straining) provokes pain
      1. Lumbar Disc Disease
    3. Hyperextension provokes pain
      1. Spondylolysis
      2. Sacroiliac Joint Disease
    4. Standing or Walking
      1. Characteristic for pseudoclaudication into legs
      2. Suggests spinal stenosis
  5. Symptoms: Low Back Pain Palliation
    1. Rest (relative or complete?)
    2. Ice or heat?
    3. Medications?
    4. Lying with knees flexed relieves pain
      1. Lumbar Disc Disease
    5. Sitting relieves pain
      1. Lumbar Spinal Stenosis
  6. References
    1. Arce (2001) Am Fam Physician 64(4):631
    2. Bratton (1999) Am Fam Physician 60(8):2299
    3. Bueff (1996) Prim Care 23:345
    4. Patel (2000) Am Fam Physician 61(6):1779

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