lower back pain
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| 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
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| 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
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| 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)
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| 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
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