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Most will be worse after a third surgery. [189] Episodes of back pain associated with on the job injuries in the worker's compensation setting are usually of short duration. About 10% of such episodes will not be simple, and will degenerate into chronic and disabling back pain conditions, even if surgery is not performed. [190] [191]
Symptoms are most commonly bilateral and symmetrical, but they may be unilateral; leg pain is usually more troubling than back pain. [ 6 ] Pseudoclaudication, now generally referred to as neurogenic claudication , typically worsens with standing or walking, and improves with sitting, and is often related to posture and lumbar extension.
Signs and symptoms include low back pain, pain that radiates down the leg, numbness around the anus, and loss of bowel or bladder control. [1] Onset may be rapid or gradual. [1] The cause is usually a disc herniation in the lower region of the back. [1] Other causes include spinal stenosis, cancer, trauma, epidural abscess, and epidural hematoma.
Therefore, a combination of signs and symptoms may be more helpful in diagnosing NC than any single feature of the history or physical exam. These signs and symptoms include pain triggered by standing, pain relieved by sitting, symptoms above the knees, and a positive "shopping cart sign". [4] Specific questions that may aid diagnosis include: [10]
Chronic lower back pain is defined as back pain that lasts more than three months. [13] The symptoms of low back pain usually improve within a few weeks from the time they start, with 40–90% of people recovered by six weeks. [2] Normal activity should be continued as much as the pain allows. [2]
Symptoms for spinal tumors may vary due to factors such as the type of tumor, the region of the spine, and the health of the patient. Back pain is the most common symptom and it can be a problem if the pain is severe, has a time frame that lasts longer than it would for a normal injury, and becomes worse while laying down or at rest.
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