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Typically, the pain is worsened by stress on the facet joints, e.g. by lumbar extension and loading (the basis of the Kemp test) or lateral flexion but also by prolonged standing or walking. [citation needed] Pain associated with facet syndrome is often called "referred pain" because symptoms do not follow a specific nerve root pattern. This is ...
However, this test has poor sensitivity (50-70%) [5] and specificity (67.3%) [6] for lumbar facet pain. Often providers perform diagnostic injections to determine if the facet joint is the underlying source of pain.
Back pain has a nocturnal component, gets better with movement, and is worse in the morning. Axial arthritis may begin in the sacroiliac joints and work its way up to the cervical spine over time. Spinal abnormalities such as flattening of the lumbar lordosis , exaggeration of the thoracic kyphosis , and hyperextension of the cervical spine ...
The misdiagnosis of pain is the most important issue taken up by Travell and Simons. Referred pain from trigger points mimics the symptoms of a very long list of common maladies, but physicians, in weighing all the possible causes for a given condition, rarely consider a myofascial source.
The plethora of terms reflects imprecision and uncertainty in their definition, controversy, and care taken to avoid stigmatising affected people. [7] Risk factors for medically unexplained symptoms are complex and include both psychological and organic features, and such symptoms are often accompanied by other somatic symptoms attributable to ...
Congenital insensitivity to pain (CIP), also known as congenital analgesia, is one or more extraordinarily rare conditions in which a person cannot feel (and has never felt) physical pain. [1] The conditions described here are separate from the HSAN group of disorders, which have more specific signs and cause.
Sacroiliac joint dysfunction is an outcome of either extra-articular dysfunction or from intraarticular dysfunction. SI joint dysfunction is sometimes referred to as "sacroiliac joint instability" or "sacroiliac joint insufficiency" due to the support the once strong and taut ligaments can no longer sustain.
The IASP broadens this definition to include psychogenic pain with the following points: Pain is always a personal experience that is influenced to varying degrees by biological, psychological, and social factors. Through their life experience, individuals learn the concept of pain. A person's report of an experience of pain should be respected ...