Neck and back pain is common, especially in older ages.
Lower back pain affects 50% of people over the age of 60.
Symptoms may include just local pain, acute or dull, chronic or remitting, dependent on any cause and accompanied by muscle spasm.
Reflex tension of the paraspinal muscles in response to painful spinal injury may be more painful than the underlying cause.
When the spinal cord or spinal roots are affected, a variety of neurological symptoms can occur, including sensory disturbances and muscle weakness.. Pain may radiate distally if the spinal roots are involved.
Various diseases can cause neck and back pain, which are presented in Table 6..
Table 6. The main diseases causing pain in the neck and back Localization of pain Diseases Only neck pain • Atlanto-axial subluxation • Reflected pain during dissection of the vertebral and carotid arteries, angina, myocardial infarction, meningitis, esophageal diseases, thyroiditis • Herpes zoster • Diseases of the temporomandibular joint.
• Reflected visceral pain during dissection or aortic aneurysm, renal colic, pancreatitis, retroperitoneal tumor, pleurisy, pyelonephritis • Iliosacral osteoarthritis • Sacroiliaeitis • Spondylolisthesis Pain in the neck and lower back;.
Mechanical (97%) 2. Non-mechanical (~ 1%) 3. Visceral (~ 2%) Mechanical back pain:.
• Lumbar overload and tension - myogenic pain (70%) • Degeneration of discs and facet joints (10%) • Herniated disc (4%) • Osteoporetic compression fractures (4%) • Spinal stenosis (3%) • Spondylolisthesis (2%).
• Neoplasia (0. 7%) - Multiple myeloma - Carcinoma metastases - Lymphoma and leukemia - Spinal cord tumors - Retroperitoneal tumors - Primary vertebral tumors • Infections (0. 01%) - Osteomyelitis - Septic discitis - Paraspinal abscess - Epidural abscess - Shingles • Inflammatory arthritis (0.
3%) - Ankylosing spondylitis - Reiter's syndrome - Visceral inflammatory pathology • Scheuirmann's disease (osteochondrosis) • Paget's disease Visceral pathology:.
• Diseases of the pelvic organs:.
- Prostatitis - Endometriosis - Chronic inflammatory diseases of the pelvic organs • Kidney disease - Nephrolithiasis - Pyelonephritis - Perinephric abscess • Aortic aneurysm • Gastrointestinal diseases - Pancreatitis - Cholecystitis - Ulcer penetration medbe. ru.