Physician Education and Scholarship Center

Low Back Pain

A common musculoskeletal symptom caused by a variety of disorders affecting the lumbar spine.  The lifetime prevalence of low back pain is over 60% and account for over 11 billion dollars in total healthcare costs.  (

Causes include falls, accidents, prolonged sitting, malignancy and herniated disk.

Some symptoms are muscle cramps and stiffness, leg pain, tingling, numbness, and weakness, loss of bladder and bowel control.

Physical examination will reveal positive test for straight leg raise.

Management includes exercise, education, cognitive behavioral therapy, pain medication, spasmolytics and surgical intervention.

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