Diagnosing Low Back Pain in the Elderly

Posted by e-Medical PPT Friday, August 3, 2012
Age Issues in Back Pain
Osteoid osteoma in teenager
Inflammatory bowel in 20 year old
Multiple Myeloma in 70 to 80 year old
Abdominal Aneurysm in 70 to 80 year old
Sex Ratios in Low back Pain
Osteoporotic fractures > in women
Fibromyalgia > in women

Low Back Pain in the Elderly
Due to a wide range of potential causes of low back pain in the elderly makes its diagnosis and management more challenging than in younger patients.

4 Important Areas to Assess in the Elderly
Characteristics of the pain
Presence of malignancy
History of non-spinal medical problems
Psychosocial status

Causes of lower Back Pain in Older patients
Acute Low Back Pain
Lumbar strain or sprain
Vertebral compression fracture due to osteoporosis
Abdominal aortic aneurysm
Polymyalgia rheumatica

Chronic lower Back Pain
Aging-related degenerative disk and joint disease
Malignancy
Paget disease
Fibromyalgia
Diffuse idiopathic skeletal hyperostosis

Diagnostic Imaging Studies
More cautious interpreting in older patients due to false-positive findings increase with age.
Medical and psychosocial comorbidity increases significantly with age.
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