Evaluation of Low Back Pain

Approximately 80 percent of individuals will have at least one episode of low back pain during their lifetime; in the working population this occurs in roughly 25 percent and to a disabling degree in 2 to 8 percent. Low back pain occurs most frequently between the ages of 20 and 40, but is more severe in older patients.

High risk occupations include vocations which are usually associated with lifting, twisting, bending and reaching. There is no strong association of low back pain with sex, height, body weight or physical fitness.


Lyndeanw, United States

Im a 53 y/o healthy, weight appropriate female. I was diagnosed with degenerative lumbar spinal disease, including stenosis at the age of 38. I have a history of several low back injuries, including dislocation of my coccyx, due to falls from horseback riding
I've also worked as an EMT/Paramedic for over 32 years in several different ED units. Long hours on my feet in physically demanding situations.
I developed right hip pain with occasional leg weakness a few years ago, but managed to perform daily tasks without severe discomfort.
I've started to have increased (R) hip/glut pain in the past three months, radiating laterally through my thigh, calf and ankle. This frequently causes thigh and calf spasms that have been debilitating In all of my daily activities. I've seen my PCP, and an Orthopaedic surgeon, with negative findings on exam and MRI.
Any idea what the possible problem could be? Then, how to manage the pain and be able to work, sleep, clean my home and enjoy life again?
Thank you
Lyndean W

md111, United States

i am unable to bend my knee without severe pain. Very difficult and painful. My lower back always has a stifness and throbing pressure.
I also have servere shooting pain across my back periodically.

thersea, United States

I have been diagnosed with spinal stenosis & spondolylesis. I have pain radiating from my butt down leg top of foot. Sometimes bottom of foot & also in the groin area. 1 side or the other every day. The pain is horrible. Sometimes both sides. Can't sit can't stand hardly sleep. Help? Have had 2 cortizone shots in a 6mo. period.1st helped. 2nd to a small degree. Unable to take pain meds.

colatulgupta, India

Very good material. I wonder if some photographs and radio graphs could be added. Dr Atul Gupta