Chronic Back Discomfort Might be a Manifestation of an uncommon Infection

 

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Low Back Pain

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THURSDAY, July 30, 2015 (HealthDay News) People with back pain that doesn’t improve with treatment could have a rare type of spine infection, new guidelines suggest. The infection called vertebral osteomyelitis could lead to paralysis or death if. Back pain can also result from arthritis and other age-related changes in your spine, from more-serious injuries, such as a vertebral fracture or ruptured disk, and from certain infections. Possible causes of back pain include: Ankylosing spondylitis; Endometriosis; Fibromyalgia; Herniated disk; Kidney infection (pyelonephritis) Kidney stones; Obesity.

Back pain from UTI. A urinary tract infection (UTI) is an infection in the parts of your body that are responsible for carrying urine. This could be the kidneys, ureters, urethra, or bladder.

Epidural Abscess. An abscess is a collection of pus that results from a local infection. When this occurs in the epidural space in the meningeal tissues that surround the spine, it can lead to spinal cord compression, with sensory loss, weakness, and impaired bladder control. 4  Fever may or may not be present.

These spinal infections are often characterized by chronic back pain not relieved by ordinary treatment, including bed rest, heat or pain relievers. There may be fever, localized tenderness, pain, muscle spasms and limited movement. Vertebral osteomyelitis refers to an infection of the vertebral body in the spine. It is a fairly rare cause of back pain, especially in young healthy adults.

Generally, the infection is spread to the vertebral body by a vascular route. Swelling and wearing away of the joint cartilage can happen after an injury, because of arthritis, infection, or even pregnancy. Spinal stenosis: If you have this, your spinal canal has narrowed. Back pain that could be a sign of cancer usually occurs along with other cancer symptoms. Sometimes, you may pass these off as being due to another condition when they are related to cancer. Chronic active Epstein-Barr virus infection (CAEBV) is diagnosed based on a clinical exam and high EBV DNA in the blood which persists for at least 3 months.

A test known as a quantitative PCR test is used to measure the amount of EBV DNA. [3] Last updated: 5/19/2020. back pain can be a sign of a serious underlying condition that needs attention right away. for example: *infections of your vertebrae (osteomyelitis), disks (discitis), or.

List of related literature:

Other historical findings that suggest an infectious source of back pain are past medical history of diabetes, immunocompromised state, chronic renal failure, cancer, recent spinal or genitourinary surgery or trauma, and intravenous drug use.

“Avoiding Common Errors in the Emergency Department” by Amal Mattu, Arjun S. Chanmugam, Stuart P. Swadron, Carrie Tibbles, Dale Woolridge, Lisa Marcucci
from Avoiding Common Errors in the Emergency Department
by Amal Mattu, Arjun S. Chanmugam, et. al.
Wolters Kluwer Health, 2012

In addition, acute and chronic low back pain may be caused by infections, either infection elsewhere in the body or localized to the spine and its surrounding structures.

“Encyclopedia of Women's Health” by Sana Loue, Martha Sajatovic
from Encyclopedia of Women’s Health
by Sana Loue, Martha Sajatovic
Springer US, 2004

Back pain is typically the chief complaint in adults, but once the infection becomes systemic (as opposed to an abscess) a low-grade fever may be present.

“Pathology for the Physical Therapist Assistant E-Book” by Catherine C. Goodman, Kenda S. Fuller
from Pathology for the Physical Therapist Assistant E-Book
by Catherine C. Goodman, Kenda S. Fuller
Elsevier Health Sciences, 2016

Back pain resulting from infection is rare but important to detect.

“Primary Care Medicine: Office Evaluation and Management of The Adult Patient: Sixth Edition” by Allan H Goroll, Albert G Mulley, Jr.
from Primary Care Medicine: Office Evaluation and Management of The Adult Patient: Sixth Edition
by Allan H Goroll, Albert G Mulley, Jr.
Wolters Kluwer Health, 2011

Infection may not be considered in the differential diagnosis for back pain because it is an uncommon disorder (<1% of all cases of osteomyelitis).

“Rothman-Simeone The Spine: Expert Consult” by Harry N. Herkowitz, Steven R. Garfin, Frank J. Eismont, Gordon R. Bell, Richard A. Balderston
from Rothman-Simeone The Spine: Expert Consult
by Harry N. Herkowitz, Steven R. Garfin, et. al.
Elsevier Health Sciences, 2011

Chronic Osteomyelitis Local signs of infection become more common, including constant bone pain and swelling and warmth at the infection site.

“Clinical Companion to Medical-Surgical Nursing E-Book: Assessment and Management of Clinical Problems” by Debra Hagler, Mariann M. Harding, Jeffrey Kwong, Dottie Roberts, Courtney Reinisch
from Clinical Companion to Medical-Surgical Nursing E-Book: Assessment and Management of Clinical Problems
by Debra Hagler, Mariann M. Harding, et. al.
Elsevier Health Sciences, 2019

or acute infection to chronic inflammatory conditions with chronic pain which can be difficult to manage.

“Blandy's Urology” by Omar M. Aboumarzouk
from Blandy’s Urology
by Omar M. Aboumarzouk
Wiley, 2019

Infection Infection is a rare cause of back pain.

“Community Pharmacy E-Book: Symptoms, Diagnosis and Treatment” by Paul Rutter, David Newby
from Community Pharmacy E-Book: Symptoms, Diagnosis and Treatment
by Paul Rutter, David Newby
Elsevier Health Sciences, 2011

Arthritis is common and many of the obscure pains, termed myalgia, neuritis, “chronic and muscular rheumatism,” are really due to fibroeitis secondary to a focal infection.

“The Principles and Practice of Medicine” by William Osler
from The Principles and Practice of Medicine
by William Osler
D. Appleton-Century Company, 1944

As with other pyogenic infection, back pain is the most common symptom, but it is less severe than in other infections.

“Differential Diagnosis for Physical TherapistsE-Book” by Catherine C. Goodman, John Heick, Rolando T. Lazaro
from Differential Diagnosis for Physical TherapistsE-Book
by Catherine C. Goodman, John Heick, Rolando T. Lazaro
Elsevier Health Sciences, 2017

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • I used to be so healthy up until the age of 17, every single joint of my body hurts, specially my upper and lower back ☹️ it just never goes away and doctors have no idea of what is going on…

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  • I’m 17 and an athlete and this pain is affecting me in a lot of ways, and stretching and exercise isn’t helping at all.. it’s been almost 6 months.

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  • Appreciate Video! Forgive me for chiming in, I am interested in your opinion. Have you heard about Dinanlinson Straightening Life Approach (should be on google have a look)? It is a smashing one off product for learning how to cure lower back pain minus the hard work. Ive heard some super things about it and my cooworker got astronomical success with it.

  • I got a lower left back pain that almost goes to my left buttock, it sort of triggers when laying down or even sitting, it comes & goes but it’s annoying & I hate the pain feeling although it’s not a bad pain it’s still annoying….. I’m scared to work out as I feel it would trigger it more (my back feels better when I arch my back) pause

  • I have such an intense lower back pain mostly on the lower left side. It is so bad I literally cannot stand up without struggling big time. I get this a few times a year.

  • My back started hurting a lot yesterday. Today I went to the pool and did a dive and well it pulled itand now I’m hurting soo badd I can’t even get up from bed ����

  • I’m 13. This is ridiculous I’m supposed to be able to fall off a roof and be fine.��‍♀️ Worse, My self harm cuts are on my back so if I tell someone and they check my back they’ll see that plastered all over it. Smh. I’ve done this to myself lol.

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    good luck

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    Name is Jοse Maynano Jade
    Best

  • Back pain takes real conscious effort to eliminate. You can do the right exercises but if you fall back into old habits of lifting and or remaining in the same position it will come back. it happened to me.

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