Back Pain

In the United States, back pain is the leading cause of activity limitation in people younger than 45, the second most frequent reason for seeking healthcare services, the fifth leading cause of hospital admissions, and the third leading cause for surgery.  60% of those who suffer from acute back pain recover in 6 weeks and… Read more »

Back Pain

Demographics In the United States, back pain is the leading cause of activity limitation in people younger than 45, the second most frequent reason for seeking healthcare services, the fifth leading cause of hospitals admission, and the third leading cause for surgery. 60% of those who suffer from acute LBP recover in 6 weeks and up… Read more »

Chostochondritis (Tietze syndrome)

It is inflammation of cartilage of the chest wall at costochondral or sternochondral junctions. Most are idiopathic (Tietze syndrome), but some occur after surgery (most notably after open heart surgery). Patients present with chest pain that is well localized to chest wall. Examination is characterized by localized tenderness at costochondral or strenochondral junctions, aggravated by… Read more »

Cervical strain

It exhibits as irritation and spasm of the upper back or cervical muscles. Symptoms include pain, stiffness, and tightness in described muscles. Trigger points exist in paracervical muscles and upper back (trapezius muscle). There is no bony tenderness on examination. There is reduced ability to rotate neck to the side of pain and reduced ability… Read more »

Femoropatellar disease

This encompasses a wide range of entities (chondromalatia patellae, patellar subluxation, patellofemoral arthritis, etc.) Common causes are trauma, overuse (jumpers knee), poor patellar alignment, and poor congruency between patellar and femoral articulation surfaces. Patients complain of knee pain in the anterior aspect, scratching “noise” or sensation and swelling. Examination shows abnormal alignment (Q angle), patellar… Read more »