Back pain - nonspecific
Low back pain
Pain in any part of the back
Pain may radiate to the buttocks or upper leg(s)
Signs and tests
A physical examination focused on the back, the abdomen, and the extremities may confirm back pain or muscle spasm , but the examination does not reveal a specific cause (such as a herniated disk) or any neurological problem (such as weakness or change in sensation).
X-rays of the spine are usually normal. Further work-up may include a CT scan or MRI of the spine .
I decided to experiment with a conversation with myself. I asked a simple and basic question and worked my way to complex and confusing:
What is depression?
The DSM-5, psychiatry’s diagnostic bible, refers to various conditions that involve feeling sad, inability to experience pleasure, lack of self-worth, inability to concentrate, and suicidal thinking, not to mention dysregulated sleep and appetite and movement, though you don’t have to experience all these at once.
But everyone gets depressed, right?
True. We all have our bad days. Also, all of us experience grief and loss and major challenges in coping with life. But all this is considered within the “normal” realm of human behavior.
Things change when we lose the ability to function, whether at work or in our relationships or in our own sense of well-being. We are more than just “depressed.” We are not ourselves. Our brains are not cooperating with us. L...
Sometimes back pain is not strictly related to spinal structures. Sometimes back pain comes from other places, specifically internal organs. In a process called referred pain , internal organs can send pain signals to other parts of the body. For example, when someone is experiencing a heart attack, the left arm may ache. Nothing is wrong with the arm, but this limb hurts because the heart is referring pain to it. The neck, mid-back and low back are also potential targets for referred pain. Here are two examples when "back pain" has nothing to do with spinal problems.
Gallbladder : The gallbladder is a small organ tucked up near the liver that helps with digestion. Within this internal organ problems can arise like a blockage from a stone, an infection, or just an inflamed gallbladder attack. Sometimes the symptoms clearly point to a problem with the gallbladder. These classic symptoms include right upper quadrant abdominal pain just underneath the right chest wall, nausea, gas, ...
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