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lower back pain

Facet joint May be acute or chronic Pain worse in the morning and on standing On examination there may be pain over the facets. The pain is typically worse on extension of the back
Spinal stenosis gradual onset Uni/bilateral leg pain (+/- back pain), numbness,&weakness worse on walking. Resolves when sits down. Pain 'aching', 'crawling'.Relieved by sitting down, leaning forwards and crouching down Clinical examination is often normal Requires MRI
Ankylosing spondylitis Typically a young man who presents with lower back pain and stiffness Stiffness is usually worse in morning and improves with activity Peripheral arthritis (25%, more common if female)
Peripheral arterial disease Pain on walking, relieved by rest Absent or weak foot pulses and other signs of limb ischaemia Past history may include smoking and other vascular diseases
Created by: laylag