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Costovertebral angle tenderness. Costovertebral angle (CVA) tenderness is pain that results from touching the region inside of the costovertebral angle. [1] The CVA is formed by the 12th rib and the spine. [1] Assessing for CVA tenderness is part of the abdominal exam, and CVA tenderness often indicates kidney pathology.
Middle back pain. Middle back pain, also known as thoracic back pain, is back pain that is felt in the region of the thoracic vertebrae, which are between the bottom of the neck and top of the lumbar spine. It has a number of potential causes, ranging from muscle strain to collapse of a vertebra or rare serious diseases.
Twelfth rib syndrome. Twelfth rib syndrome, also known as rib tip syndrome, is a painful condition that occurs as a result of highly mobile floating ribs. It commonly presents as pain that may be felt in the lower back or lower abdominal region as a result of the 11th or 12th mobile rib irritating the surrounding tissues and nervous systems.
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A spinal disc herniation is an injury to the intervertebral disc between two spinal vertebrae, usually caused by excessive strain or trauma to the spine. It may result in back pain, pain or sensation in different parts of the body, and physical disability. The most conclusive diagnostic tool for disc herniation is MRI, and treatment may range ...
The problem with the multifidus muscles continues even after the pain goes away, and is probably an important reason why the pain comes back. [36] Teaching people with chronic low back pain how to use these muscles is recommended as part of a recovery program. [36] An intervertebral disc has a gelatinous core surrounded by a fibrous ring. [37]