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→Low Back Pain
=Low Back Pain=
=Low Back Pain=
*H&P
*H&P: Look for history of weight loss, morning stiffness, sciatica, trauma, IV drug use, surgery, bowel bladder incontinence, weakness, saddle anesthesia
*Dx
*Dx: Straight leg raise, abdominal exam, palpate spine and paraspinal area, ± neuro and DRE; get X-rays if indicated. Malignancy, cauda equina, osteomyelitis, epidural abscess, ankylosing spondylitis, degenerative (disc herniation, spinal stenosis, spondylolisthesis), muscular strain, referred pain from abdomen, trauma
*Tx
*Tx: Treat underlying cause if possible. Multimodal, PT, weight loss, exercise, pain psych. Avoid muscle relaxers and opioids.
=Spondyloarthropathies=
=Spondyloarthropathies=