One of the major risks of having spine surgery is the development of an infection. Discitis is an uncommon infection of the spinal disc that can occur after spinal surgery. Because of its rarity, discitis is often not on the minds of doctors. In this world of rushed, inattentive doctors, a person with an infection of the spine can be dismissed as a "common back pain" case when in fact discitis is the culprit.
A 58 year old woman who had years of lumbar pain came to me one and a half years following a complicated lumbar fusion; the surgery was complicated by the fact that the surgeon had to operate twice in order to get the hardware placed correctly. Unfortunately, the surgery did not cure her pain; and she came to me for pain management.
Two months into her treatment with me, she had a severe episode of low back pain after shoveling snow. She went to her primary doctor with not only complaints of worsening back pain, but she also had a fever and an upset stomach. That ...
Diseases that fall under spondyloarthritis umbrella are ankylosing spondylitis , reactive arthritis (known previously as Reiter's syndrome) psoriatic arthritis and psoriatic spondylitis, and the arthritis or spondylitis associated with the inflammatory bowel diseases, ulcerative colitis and Crohn's disease . Still other patients may develop undifferentiated spondyloarthritis. This means they have symptoms or signs of one of the illnesses above, but don't develop the full blown disease. The disease most frequently begins between ages 20 and 40, but may begin before age 10. It affects more males than females. Risk factors include a family history of ankylosing spondylitis and male gender. Symptoms of Spondyloarthris The disease starts with hip or low back pain that comes and goes and is worse at night, in the morning, or after inactivity. Back pain may begin in the sacroiliac joints (between the pelvis and the spine) and involve all or part of the spine. Pain may go aw...
Nonspecific back pain refers to pain in the back due to an unknown cause.
Back pain - nonspecific
Causes, incidence, and risk factors
Back pain is one of the most common complaints treated by physicians. Nearly four out of five people will have back pain at some time in their life. Most of the time, the exact cause of the pain can not be found.
can develop in association with a number of causes, including muscle strain
, injury to the back, overuse, muscle disorders, pressure on a nerve root, poor posture, and many others. Pregnant women, smokers, construction workers, and people who do repetitive lifting all have increased risk of back pain. (See also low back pain
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