Diagnostic approach to low back pain
Yıl: 2023 Cilt: 8 Sayı: 2 Sayfa Aralığı: 49 - 52 Metin Dili: İngilizce DOI: 10.22391/fppc.1037655 İndeks Tarihi: 17-05-2023
Diagnostic approach to low back pain
Öz: Low back pain is an important cause of pain referrals in the primary care setting. Overall, 85% of initial admissions are considered to be nonspecific low back pain that resolves in a few weeks without the need for additional evaluation. Myofascial pain, lumbar disc herniation, spinal stenosis, facet joint and disc degeneration, and sacroiliac joint pathologies are common causes of mechanical low back pain. Non-mechanical low back pain includes infections of the vertebral corpus and disc, malignant tumors and metastases, and inflammatory diseases. Red flag symptoms suggestive of serious diseases should be evaluated in all patients with low back pain, and the diagnosis process should be accelerated in patients with these symptoms. The so-called "yellow flags" associated with chronic low back pain include psychosocial factors. In the diagnosis process, pain relief is observed in patients with non-specific low back pain without the need for imaging methods. Laboratory tests and imaging methods can be used to distinguish other causes of low back pain.
Anahtar Kelime: Bel ağrılarına tanısal yaklaşım
Öz: Bel ağrısı birinci basamakta ağrı başvurularında önemli yer tutar. İlk başvuruların % 85’i nonspesifik bel ağrısıdır ve ek değerlendirmeye gerek kalmadan birkaç haftada iyileşir. Myofasiyal ağrı, lomber disk hernisi, spinal stenoz, faset eklem ve disk dejenerasyonu, sakroiliak eklem patolojileri sık görülen mekanik bel ağrısı nedenleridir. Non-mekanik bel ağrıları arasında vertebral korpus ve diskin enfeksiyonları, malign tümör/metastazlar ve inflamatuar hastalıklar yer alır. Bel ağrılı tüm hastalarda ciddi hastalıkları düşündüren kırmızı bayrak semptomları mutlaka değerlendirilmeli ve bu semptomların bulunduğu hastalarda tanı süreci hızlandırılmalıdır. Bel ağrısının kronikleşmesi ile ilgili sarı bayraklar olarak adlandırılan semptomlar psikososyal faktörleri içerir. Tanı sürecinde nonspesifik bel ağrılı hastalarda görüntüleme yöntemlerine gerek kalmadan, ağrının azaldığı gözlenir. Diğer bel ağrısı nedenlerini ayırmada, laboratuvar tetkiklerinden ve görüntüleme yöntemlerinden faydalanılabilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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| APA | resorlu h (2023). Diagnostic approach to low back pain. , 49 - 52. 10.22391/fppc.1037655 |
| Chicago | resorlu hatice Diagnostic approach to low back pain. (2023): 49 - 52. 10.22391/fppc.1037655 |
| MLA | resorlu hatice Diagnostic approach to low back pain. , 2023, ss.49 - 52. 10.22391/fppc.1037655 |
| AMA | resorlu h Diagnostic approach to low back pain. . 2023; 49 - 52. 10.22391/fppc.1037655 |
| Vancouver | resorlu h Diagnostic approach to low back pain. . 2023; 49 - 52. 10.22391/fppc.1037655 |
| IEEE | resorlu h "Diagnostic approach to low back pain." , ss.49 - 52, 2023. 10.22391/fppc.1037655 |
| ISNAD | resorlu, hatice. "Diagnostic approach to low back pain". (2023), 49-52. https://doi.org/10.22391/fppc.1037655 |
| APA | resorlu h (2023). Diagnostic approach to low back pain. Aile Hekimliği ve Palyatif Bakım, 8(2), 49 - 52. 10.22391/fppc.1037655 |
| Chicago | resorlu hatice Diagnostic approach to low back pain. Aile Hekimliği ve Palyatif Bakım 8, no.2 (2023): 49 - 52. 10.22391/fppc.1037655 |
| MLA | resorlu hatice Diagnostic approach to low back pain. Aile Hekimliği ve Palyatif Bakım, vol.8, no.2, 2023, ss.49 - 52. 10.22391/fppc.1037655 |
| AMA | resorlu h Diagnostic approach to low back pain. Aile Hekimliği ve Palyatif Bakım. 2023; 8(2): 49 - 52. 10.22391/fppc.1037655 |
| Vancouver | resorlu h Diagnostic approach to low back pain. Aile Hekimliği ve Palyatif Bakım. 2023; 8(2): 49 - 52. 10.22391/fppc.1037655 |
| IEEE | resorlu h "Diagnostic approach to low back pain." Aile Hekimliği ve Palyatif Bakım, 8, ss.49 - 52, 2023. 10.22391/fppc.1037655 |
| ISNAD | resorlu, hatice. "Diagnostic approach to low back pain". Aile Hekimliği ve Palyatif Bakım 8/2 (2023), 49-52. https://doi.org/10.22391/fppc.1037655 |
