Classification of back pain based on historical symptoms

Classification of back pain based on historical symptoms

FeatureMechanicalInflammatorySoft TissueInfiltrative
LocationDiffuseDiffuseDiffuseFocal
OnsetVariableSubacuteAcute or subacuteInsidious
Likely precipitantTrauma
Degeneration
±HLA-B27Poor sleep
Stress
Infection, cancer
Morning stiffness30 minutes>1 hourVariableNone
Activity response↑ symptoms↓ symptomsVariablePersistent symptoms
Rest response↓ symptoms↑ symptomsVariablePersistent symptoms
Nocturnal painMildModerateModerateSevere
Systemic diseaseNoYesNoPossible
Clinical conditionsDegenerative disc diseaseAnkylosing spondylitisFibromyalgiaCancer, infection
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