{"id":5423,"date":"2023-03-30T21:09:23","date_gmt":"2023-03-30T21:09:23","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/lumbar-differential-diagnosis-fr\/"},"modified":"2024-05-13T07:18:35","modified_gmt":"2024-05-13T07:18:35","slug":"lumbar-differential-diagnosis-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/lumbar-differential-diagnosis-fr\/","title":{"rendered":"Diagnostic diff\u00e9rentiel au niveau lombaire"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>\u00c9diteur original <\/b>&#8211; <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/nick-rainey\/\/\" rel=\"nofollow\">Nick Rainey<\/a> \u00e0 partir du cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/nick-rainey\/\/\" rel=\"nofollow\">Nick Rainey<\/a><br \/>\n<b>Principaux contributeurs<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Carin Hunter\" href=\"\/User:Carin_Hunter\"><bdi>Carin Hunter<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Diagnosis_versus_Classification\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Le diagnostic vs la classification<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Imaging\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">L&rsquo;imagerie m\u00e9dicale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Potential_Conditions_to_Consider_in_a_Differential_Diagnosis\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Les affections potentielles \u00e0 consid\u00e9rer dans un diagnostic diff\u00e9rentiel<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Sources_of_Pain\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Les sources de la douleur<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Differentiating_between_Hip_and_Lumbar_Pain\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\"><b>Diff\u00e9rencier la douleur de la hanche de la douleur lombaire<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Pathoanatomical_Approach_Compared_to_a_Signs_and_Symptoms_Approach\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\"><b>L&rsquo;approche anatomopathologique compar\u00e9e \u00e0 l&rsquo;approche par les signes et sympt\u00f4mes <\/b><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Additional_Resources\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Ressources suppl\u00e9mentaires<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Podcast_Links:\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">Liens Podcast : <\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Journal_Articles_and_Books:\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">Articles de journaux et livres : <\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Physiopedia_Pages:\"><span class=\"tocnumber\">7.3<\/span> <span class=\"toctext\"><b>Pages Physiopedia :<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La lombalgie est une pathologie vue couramment dans les cliniques de physioth\u00e9rapie. L&rsquo;\u00e9valuation physioth\u00e9rapeutique vise \u00e0 d\u00e9pister les affections graves de la colonne vert\u00e9brale et \u00e0 identifier les d\u00e9ficiences qui peuvent avoir contribu\u00e9 \u00e0 l&rsquo;apparition de la douleur ou qui augmentent la probabilit\u00e9 qu&rsquo;une personne d\u00e9veloppe une douleur persistante. Ces d\u00e9ficiences incluent les <b>facteurs biologiques<\/b> (par exemple, la faiblesse, la raideur), les <b>facteurs psychologiques<\/b> (par exemple, la d\u00e9pression, la peur du mouvement et le catastrophisme) et les <b>facteurs sociaux<\/b> (par exemple, l&rsquo;environnement de travail). <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p>\n<p>Une fois que l&rsquo;on a exclu toute <a title=\"Une introduction aux drapeaux rouges pour les pathologies graves\" href=\"\/An_Introduction_to_Red_Flags_in_Serious_Pathology\">pathologie grave de la colonne vert\u00e9brale<\/a> et autres <a href=\"\/Specific_Low_Back_Pain\" title=\"Specific Low Back Pain\">causes sp\u00e9cifiques de mal de dos<\/a>, la personne est class\u00e9e comme souffrant d&rsquo;une lombalgie non sp\u00e9cifique. Si aucune pathologie grave n&rsquo;est suspect\u00e9e, il n&rsquo;y a pas d&rsquo;indication pour r\u00e9f\u00e9rer en imagerie, sauf si les r\u00e9sultats peuvent modifier le traitement. <sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2) <\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><\/p>\n<p>90 % des patients qui se pr\u00e9sentent aux soins primaires avec une lombalgie sont class\u00e9s comme souffrant d&rsquo;une <a title=\"Non Specific Low Back Pain\" href=\"\/Non_Specific_Low_Back_Pain\">lombalgie non sp\u00e9cifique<\/a>.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4) <\/a><\/sup><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup> La lombalgie non sp\u00e9cifique est d\u00e9finie comme une \u00ab\u00a0lombalgie non attribuable \u00e0 une pathologie sp\u00e9cifique connue et reconnaissable\u00a0\u00bb.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> (par exemple, infection, <a title=\"Skeletal Metastases\" href=\"\/Skeletal_Metastases\">tumeur<\/a>, <a title=\"Osteoporosis\" href=\"\/Osteoporosis\">ost\u00e9oporose<\/a>, <a title=\"Lumbar Spine Fracture\" href=\"\/Lumbar_Spine_Fracture\">fracture de la colonne lombaire<\/a>, <a title=\"Congenital Spine Deformities\" href=\"\/Congenital_Spine_Deformities\">d\u00e9formation structurelle<\/a>, pathologie in\ufb02ammatoire, <a title=\"Radiculopathie lombaire\" href=\"\/Lumbar_Radiculopathy\">syndrome radiculaire<\/a> ou s<a title=\"Syndrome de la queue de cheval\" href=\"\/Cauda_Equina_Syndrome\">yndrome de la queue de cheval<\/a>)\u00a0\u00bb. <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> L&rsquo;absence de sp\u00e9cificit\u00e9 ne signifie pas que la nociception n&rsquo;est pas caus\u00e9e par un tissu, mais simplement qu&rsquo;elle n&rsquo;est pas aussi claire ni aussi pr\u00e9occupante.<sup id=\"cite_ref-:0_8-0\" class=\"reference\"><a href=\"#cite_note-:0-8\">(8)<\/a><\/sup><\/p>\n<p>Les lombalgies non sp\u00e9cifiques sont g\u00e9n\u00e9ralement class\u00e9es en trois sous-types : les lombalgies aigu\u00ebs, subaigu\u00ebs et chroniques. <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> Cette subdivision est bas\u00e9e sur le temps \u00e9coul\u00e9 depuis que la personne souffre de lombalgie. La lombalgie aigu\u00eb est un \u00e9pisode de lombalgie qui dure depuis moins de 6 semaines, la lombalgie subaigu\u00eb est pr\u00e9sente depuis 6 \u00e0 12 semaines et la lombalgie chronique est pr\u00e9sente depuis 12 semaines ou plus.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<h2><span id=\"Diagnosis_versus_Classification\" class=\"mw-headline\">Le diagnostic versus la classification <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnosis versus Classification\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Diagnosis versus Classification\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=2\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le diagnostic et la classification sont d\u00e9finis plus en d\u00e9tail <a title=\"Practical Decision Making in Physiotherapy Practice\" href=\"\/Practical_Decision_Making_in_Physiotherapy_Practice#Diagnosis_and_Classification\">ici<\/a>. De fa\u00e7on g\u00e9n\u00e9rale, lorsque nous parlons de diagnostics, nous parlons de diagnostics anatomopathologiques. Il existe \u00e9galement de nombreux syst\u00e8mes de classification des lombalgies, certains \u00e9tant plus couramment utilis\u00e9s que d&rsquo;autres. L&rsquo;objectif d&rsquo;un syst\u00e8me de classification est de guider le traitement et de veiller \u00e0 ce que les cliniciens ne traitent pas tous les cas de mal de dos de la m\u00eame mani\u00e8re.<sup id=\"cite_ref-:0_8-1\" class=\"reference\"><a href=\"#cite_note-:0-8\">(8)<\/a><\/sup><\/p>\n<h2><span id=\"Imaging\" class=\"mw-headline\">Imagerie m\u00e9dicale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Imaging\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Imaging\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Pour plus d&rsquo;informations sur l&rsquo;orientation vers l&rsquo;imagerie, veuillez consulter le document suivant : <a title=\"Practical Decision Making in Physiotherapy Practice\" href=\"\/Practical_Decision_Making_in_Physiotherapy_Practice\">Practical Decision Making in Physiotherapy Practice<\/a>. Quelques points cl\u00e9s \u00e0 consid\u00e9rer avant d&rsquo;envisager une demande d&rsquo;imagerie : <sup id=\"cite_ref-:0_8-2\" class=\"reference\"><a href=\"#cite_note-:0-8\">(8)<\/a><\/sup><\/p>\n<ul>\n<li>L&rsquo;imagerie est n\u00e9cessaire en pr\u00e9sence de drapeaux rouges ou en l&rsquo;absence d&rsquo;am\u00e9lioration avec des soins conservateurs dans les 6 semaines &#8211; si vous n&rsquo;\u00eates pas s\u00fbr d&rsquo;un drapeau rouge, vous pouvez alors traiter un peu le patient pour voir si son \u00e9tat s&rsquo;am\u00e9liore.<\/li>\n<li>l&rsquo;imagerie est aussi recommand\u00e9e si elle peut modifier le cours du traitement <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>de nombreux r\u00e9sultats d&rsquo;imagerie sont en corr\u00e9lation avec la lombalgie. Cela ne signifie pas que toutes les personnes pr\u00e9sentant des r\u00e9sultats d&rsquo;imagerie auront des douleurs, mais souvent, plus les r\u00e9sultats d&rsquo;imagerie sont nombreux, plus la probabilit\u00e9 que la personne ait des douleurs est \u00e9lev\u00e9e. Mais nous pouvons encore aider ces personnes !<\/li>\n<\/ul>\n<h2><span id=\"Potential_Conditions_to_Consider_in_a_Differential_Diagnosis\" class=\"mw-headline\">Les affections potentielles \u00e0 consid\u00e9rer dans un diagnostic diff\u00e9rentiel <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Potential Conditions to Consider in a Differential Diagnosis\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=4\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Potential Conditions to Consider in a Differential Diagnosis\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=4\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le diagnostic diff\u00e9rentiel est un \u00e9l\u00e9ment cl\u00e9 du processus d&rsquo;\u00e9valuation en physioth\u00e9rapie. Apr\u00e8s une <a title=\"Lumbar Assessment\" href=\"\/Lumbar_Assessment\">\u00e9valuation lombaire<\/a> compl\u00e8te, vous pouvez classer le patient, comme expliqu\u00e9 dans la page <a title=\"Lumbar Assessment\" href=\"\/Lumbar_Assessment\">\u00c9valuation lombaire<\/a> (voir la figure ci-dessous).<\/p>\n<p><a class=\"image\" href=\"\/File:LBP_Triage.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ae\/LBP_Triage.png\/600px-LBP_Triage.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/a\/ae\/LBP_Triage.png 1.5x\" alt=\"LBP Triage.png\" width=\"600\" height=\"277\"><\/a><\/p>\n<p>Vous devrez conna\u00eetre les <a title=\"Red Flags in Spinal Conditions\" href=\"\/Red_Flags_in_Spinal_Conditions\">drapeaux rouges<\/a> et prendre en compte un certain nombre de conditions (voir les pages li\u00e9es pour plus d&rsquo;informations).<\/p>\n<blockquote><p>\u00ab\u00a0Ayez une hypoth\u00e8se. Plus vous serez r\u00e9fl\u00e9chi, plus vous deviendrez performant.\u00a0\u00bb &#8211; Nick Rainey<\/p><\/blockquote>\n<ul>\n<li><a title=\"Specific Low Back Pain\" href=\"\/Specific_Low_Back_Pain\">Specific Low Back Pain<\/a>\n<ul>\n<li>une cause sp\u00e9cifique de douleur dorsale identifi\u00e9e, telle qu&rsquo;une fracture, une hernie discale, une infection ou une tumeur <sup id=\"cite_ref-:1_12-0\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Syndrome de la queue de cheval\" href=\"\/Cauda_Equina_Syndrome\">Syndrome de la queue de cheval<\/a>\n<ul>\n<li>une affection neurologique rare mais grave qui touche le faisceau de racines nerveuses \u00e0 l&rsquo;extr\u00e9mit\u00e9 inf\u00e9rieure de la moelle \u00e9pini\u00e8re &#8211; consid\u00e9r\u00e9e comme un drapeau rouge urgent <sup id=\"cite_ref-:0_8-3\" class=\"reference\"><a href=\"#cite_note-:0-8\">(8)<\/a><\/sup><\/li>\n<li>les sympt\u00f4mes incluent des modifications au niveau de la vessie et des intestins, ainsi qu&rsquo;une anesth\u00e9sie en selle <sup id=\"cite_ref-:1_12-1\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Radiculopathie lombaire\" href=\"\/Lumbar_Radiculopathy\">Radiculopathie lombaire<\/a>\n<ul>\n<li>compression de la racine nerveuse \u00e0 la sortie de la colonne vert\u00e9brale<\/li>\n<li>peut entra\u00eener des picotements, des douleurs irradiantes, des engourdissements, des paresth\u00e9sies et des douleurs vives<\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Disc Herniation\" href=\"\/Disc_Herniation\">Disc Herniation<\/a>\n<ul>\n<li>le noyau pulpeux est d\u00e9plac\u00e9 dans l&rsquo;espace intervert\u00e9bral<\/li>\n<li>entra\u00eene des douleurs lombaires et une sciatalgie radiculaire, parfois accompagn\u00e9es de d\u00e9ficits sensoriels et\/ou moteurs <sup id=\"cite_ref-:1_12-2\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><a class=\"mw-redirect\" title=\"St\u00e9nose spinale\" href=\"\/Spinal_Stenosis\">St\u00e9nose spinale<\/a>\n<ul>\n<li>affection d\u00e9g\u00e9n\u00e9rative caract\u00e9ris\u00e9e par une r\u00e9duction de l&rsquo;espace disponible pour les \u00e9l\u00e9ments neuronaux\/vasculaires de la colonne lombaire <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/li>\n<li>un syndrome de st\u00e9nose spinale est associ\u00e9 \u00e0 une r\u00e9duction des distances de marche (claudication intermittente neurog\u00e8ne), \u00e0 une douleur qui r\u00e9f\u00e8re dans les deux jambes et \u00e0 d&rsquo;\u00e9ventuelles alt\u00e9rations sensorielles et motrices <sup id=\"cite_ref-:1_12-3\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Spondylolisth\u00e9sis\" href=\"\/Spondylolisthesis\">Spondylolisth\u00e9sis<\/a>\n<ul>\n<li>glissement d&rsquo;un corps vert\u00e9bral par rapport au corps vert\u00e9bral adjacent, se traduisant par des sympt\u00f4mes m\u00e9caniques ou radiculaires <sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Piriformis Syndrome\" href=\"\/Piriformis_Syndrome\">Piriformis Syndrome<\/a>\n<ul>\n<li>\u00e9tat clinique caract\u00e9ris\u00e9 par la compression du nerf sciatique au niveau de la tub\u00e9rosit\u00e9 ischiatique. <sup id=\"cite_ref-:5_15-0\" class=\"reference\"><a href=\"#cite_note-:5-15\">(15)<\/a><\/sup><\/li>\n<li>associ\u00e9e \u00e0 une douleur \u00e0 la fesse, qui peut \u00eatre d\u00e9crite comme lancinante, br\u00fblante ou une sourde.<\/li>\n<li>il peut \u00e9galement y avoir un engourdissement \u00e0 la fesse et des fourmillements le long de la distribution du nerf sciatique <sup id=\"cite_ref-:5_15-1\" class=\"reference\"><a href=\"#cite_note-:5-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><a class=\"mw-redirect\" title=\"Sacroiliac Joint Pain\" href=\"\/Sacroiliac_Joint_Pain\">Douleur de l&rsquo;articulation sacro-iliaque<\/a> (sans dysfonctionnement)\n<ul>\n<li>l&rsquo;articulation sacro-iliaque est une source nociceptive potentielle de douleurs lombaires <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li>veuillez \u00e9couter ce podcast pour en savoir plus : Podcast sur le mal de dos : <a class=\"external text\" href=\"https:\/\/lnns.co\/80bxy2nS1tu\" rel=\"nofollow\">Is my pain from my sacroiliac joint?<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Osteoarthritis\" href=\"\/Osteoarthritis\">Osteoarthritis<\/a>\n<ul>\n<li>une cause importante de lombalgie chronique<\/li>\n<li>a probablement une pathog\u00e9nie multifactorielle <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Sciatica\" href=\"\/Sciatica\">Sciatica<\/a>\n<ul>\n<li>provoque des douleurs et des paresth\u00e9sies le long de la distribution du nerf sciatique ou de la racine nerveuse lombosacr\u00e9e associ\u00e9e <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Syndrome de la jonction thoraco-lombaire (\u00e9galement appel\u00e9 syndrome de Maigne)\n<ul>\n<li>une cause souvent m\u00e9connue de lombalgie <sup id=\"cite_ref-:4_19-0\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19)<\/a><\/sup><\/li>\n<li>il en existe deux types :\n<ul>\n<li>la variante centrale caus\u00e9e par \u00ab\u00a0une entr\u00e9e aff\u00e9rente nerveuse secondaire aux changements de l&rsquo;arthropathie des facettes articulaires \u00e0 la jonction thoraco-lombaire\u00a0\u00bb <sup id=\"cite_ref-:4_19-1\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19)<\/a><\/sup><\/li>\n<li>la variante p\u00e9riph\u00e9rique caus\u00e9e par \u00ab\u00a0l&rsquo;impaction de la branche m\u00e9diane du nerf clun\u00e9al sup\u00e9rieur\u00a0\u00bb <sup id=\"cite_ref-:4_19-2\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations sur les pathologies \u00e0 consid\u00e9rer dans le cadre d&rsquo;un diagnostic diff\u00e9rentiel lombaire, veuillez consulter la revue scientifique suivante : <a class=\"external text\" href=\"https:\/\/www.aerzteblatt.de\/int\/archive\/article\/175585\" rel=\"nofollow\">Acute Lumbar Back Pain: Investigation, Differential Diagnosis, and Treatment<\/a>. Cet article comprend un certain nombre de tableaux r\u00e9sumant les principales caract\u00e9ristiques des diff\u00e9rentes affections susceptibles de provoquer des douleurs lombaires.<\/p>\n<h2><span id=\"Sources_of_Pain\" class=\"mw-headline\">Les sources de la douleur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Sources of Pain\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Sources of Pain\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=5\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Lors du diagnostic diff\u00e9rentiel lombaire, vous devrez consid\u00e9rer s&rsquo;il existe une douleur au niveau des extr\u00e9mit\u00e9s ou si celle-ci se situe uniquement au niveau de la colonne vert\u00e9brale. Vous devrez ensuite d\u00e9terminer si la colonne vert\u00e9brale contribue \u00e0 la douleur de l&rsquo;extr\u00e9mit\u00e9 (c&rsquo;est-\u00e0-dire si elle est spinog\u00e8ne) ou si c&rsquo;est l&rsquo;extr\u00e9mit\u00e9 qui en est la source.<\/p>\n<p>Quelques facteurs cl\u00e9s \u00e0 prendre en compte pour rechercher la source de la douleur : <sup id=\"cite_ref-:0_8-4\" class=\"reference\"><a href=\"#cite_note-:0-8\">(8)<\/a><\/sup><\/p>\n<ul>\n<li>s&rsquo;il existe des restrictions de mouvement au niveau de la colonne vert\u00e9brale, il y a plus de chances que les sympt\u00f4mes distaux proviennent de la colonne vert\u00e9brale <sup id=\"cite_ref-:3_20-0\" class=\"reference\"><a href=\"#cite_note-:3-20\">(20)<\/a><\/sup><\/li>\n<li>il est plus probable que la colonne vert\u00e9brale soit \u00e0 l&rsquo;origine de la douleur si l&rsquo;extr\u00e9mit\u00e9 pr\u00e9sente une amplitude de mouvement compl\u00e8te <sup id=\"cite_ref-:3_20-1\" class=\"reference\"><a href=\"#cite_note-:3-20\">(20)<\/a><\/sup><\/li>\n<li>une \u00ab\u00a0douleur actuelle au niveau de la colonne\u00a0\u00bb augmente la probabilit\u00e9 pr\u00e9-test que la douleur \u00e0 l&rsquo;extr\u00e9mit\u00e9 ait une origine rachidienne de 10 % \u00e0 19 % dans l&rsquo;ensemble <sup id=\"cite_ref-:2_21-0\" class=\"reference\"><a href=\"#cite_note-:2-21\">(21)<\/a><\/sup><\/li>\n<li>un pourcentage \u00e9lev\u00e9 de personnes souffrant de douleurs \u00e0 la hanche, \u00e0 la cuisse ou \u00e0 la jambe ont des douleurs spinog\u00e8nes <sup id=\"cite_ref-:2_21-1\" class=\"reference\"><a href=\"#cite_note-:2-21\">(21)<\/a><\/sup><\/li>\n<li>si un changement de posture affecte les sympt\u00f4mes, il est plus probable que la douleur provienne de la colonne vert\u00e9brale <sup id=\"cite_ref-:3_20-2\" class=\"reference\"><a href=\"#cite_note-:3-20\">(20)<\/a><\/sup><\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations, veuillez consulter les articles suivants :<\/p>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9255208\/\" rel=\"nofollow\">Exploring indicators of extremity pain of spinal source as identified by Mechanical Diagnosis and Therapy (MDT): a secondary analysis of a prospective cohort study <\/a><sup id=\"cite_ref-:3_20-3\" class=\"reference\"><a href=\"#cite_note-:3-20\">(20)<\/a><\/sup><\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/10669817.2019.1661706\" rel=\"nofollow\">A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS) <\/a><sup id=\"cite_ref-:2_21-2\" class=\"reference\"><a href=\"#cite_note-:2-21\">(21)<\/a><\/sup><\/li>\n<\/ul>\n<p>Au cours d&rsquo;une \u00e9valuation, il est important de se rappeler que malgr\u00e9 que <a title=\"L'\u00e9valuation neurologique\" href=\"\/Neurological_Assessment\">les tests neurologiques<\/a> ne sont pas exacts, il sont proches. \u00ab\u00a0<i>Il faut simplement d\u00e9terminer o\u00f9 nous devons traiter et ce qui am\u00e9liore les sympt\u00f4mes distaux.<\/i>\u00ab\u00a0<sup id=\"cite_ref-:0_8-5\" class=\"reference\"><a href=\"#cite_note-:0-8\">(8)<\/a><\/sup> Aussi, lorsque l&rsquo;on consid\u00e8re les sch\u00e9mas de douleur, il convient de noter que les sch\u00e9mas de douleur dermatomiques ne sont g\u00e9n\u00e9ralement pas aussi bien d\u00e9finis que les sch\u00e9mas des nerfs p\u00e9riph\u00e9riques.<sup id=\"cite_ref-:0_8-6\" class=\"reference\"><a href=\"#cite_note-:0-8\">(8)<\/a><\/sup><\/p>\n<h5><span id=\"Differentiating_between_Hip_and_Lumbar_Pain\" class=\"mw-headline\"><b>Diff\u00e9rencier les douleurs de hanche des douleurs lombaires <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Differentiating between Hip and Lumbar Pain\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Differentiating between Hip and Lumbar Pain\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Cette vid\u00e9o (en anglais) montre l&rsquo;examen d&rsquo;un patient visant \u00e0 diff\u00e9rencier une douleur de hanche d&rsquo;une douleur lombaire.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/kVy_FGngB-M?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Pathoanatomical_Approach_Compared_to_a_Signs_and_Symptoms_Approach\" class=\"mw-headline\"><b>L&rsquo;approche anatomopathologique compar\u00e9e \u00e0 l&rsquo;approche par les signes et sympt\u00f4mes <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Pathoanatomical Approach Compared to a Signs and Symptoms Approach\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=7\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Pathoanatomical Approach Compared to a Signs and Symptoms Approach\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=7\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<blockquote><p>\u00ab\u00a0Une approche anatomopathologique signifie que vous traitez pour am\u00e9liorer l&rsquo;anatomie, tandis qu&rsquo;une approche fond\u00e9e sur les signes et les sympt\u00f4mes signifie que vous testez les signes et interrogez sur les sympt\u00f4mes, que vous traitez, puis que vous retestez ceux-ci pour \u00e9valuer les progr\u00e8s accomplis.\u00a0\u00bb <sup id=\"cite_ref-:0_8-7\" class=\"reference\"><a href=\"#cite_note-:0-8\">(8)<\/a><\/sup> &#8211; Nick Rainey<\/p><\/blockquote>\n<p>Apr\u00e8s notre \u00e9valuation, nous devons tenir compte des signes ast\u00e9risques que nous avons not\u00e9s tout au long de notre examen et les utiliser pour d\u00e9cider comment traiter en utilisant une approche de traitement bas\u00e9e sur les \u00ab\u00a0signes et les sympt\u00f4mes\u00a0\u00bb.<\/p>\n<blockquote><p>Le signe ast\u00e9risque est \u00e9galement connu sous le nom de signe comparable. Il s&rsquo;agit d&rsquo;un \u00e9l\u00e9ment que l&rsquo;on peut reproduire\/retester et qui refl\u00e8te souvent la plainte principale. Il peut \u00eatre fonctionnel ou sp\u00e9cifique \u00e0 un mouvement. Il est utilis\u00e9 pour mesurer l&rsquo;am\u00e9lioration ou l&rsquo;aggravation des sympt\u00f4mes.<\/p><\/blockquote>\n<h2><span id=\"Additional_Resources\" class=\"mw-headline\">Ressources suppl\u00e9mentaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Additional Resources\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=8\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Additional Resources\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=8\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h6><span id=\"Podcast_Links:\" class=\"mw-headline\">Liens vers des podcasts : <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Podcast Links:\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=9\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Podcast Links:\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=9\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h6>\n<ul>\n<li>The Back Pain Podcast: <a class=\"external text\" href=\"https:\/\/www.listennotes.com\/podcasts\/the-back-pain\/piriformis-syndrome-JNfz-nLhXdW\/\" rel=\"nofollow\">Piriformis syndrome<\/a><\/li>\n<li>The Back Pain Podcast: <a class=\"external text\" href=\"https:\/\/lnns.co\/80bxy2nS1tu\" rel=\"nofollow\">Is my pain from my sacroiliac joint?<\/a><\/li>\n<li>Modern Pain Podcast: <a class=\"external text\" href=\"https:\/\/podcasts.apple.com\/us\/podcast\/lumbar-stenosis\/id1435013970?i=1000524086734\" rel=\"nofollow\">Lumbar Stenosis<\/a><\/li>\n<li>The Back Pain Podcast Episode 82: <a class=\"external text\" href=\"https:\/\/open.spotify.com\/episode\/0eDaAPC4DGMklQ87crSzwJ\" rel=\"nofollow\">Flexion, Extension, Radicular Pain &amp; Disc Pathology with Adam Meakins and Dr. Mark Laslett<\/a><\/li>\n<\/ul>\n<h6><span id=\"Journal_Articles_and_Books:\" class=\"mw-headline\">Articles de journaux et livres : <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Journal Articles and Books:\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Journal Articles and Books:\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h6>\n<ul>\n<li>Casser HR, Seddigh S, Rauschmann M. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4857557\/\" rel=\"nofollow\">Acute lumbar back pain: investigation, differential diagnosis, and treatment.<\/a> Deutsches \u00c4rzteblatt International. 2016 Apr;113(13):223.<\/li>\n<li>Casiano VE, Dydyk AM, Varacallo M. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538173\/#:~:text=Inflammatory%20disorders%2C%20malignancy%2C%20pregnancy%2C,all%20part%20of%20the%20differential.\" rel=\"nofollow\">Back pain.<\/a><\/li>\n<\/ul>\n<h6><span id=\"Physiopedia_Pages:\" class=\"mw-headline\">Pages Physiopedia:<\/span> <span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiopedia Pages:\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=11\">edit<\/a> <span class=\"mw-editsection-divider\">|<\/span> <a title=\"Edit section: Physiopedia Pages:\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h6>\n<ul>\n<li><a title=\"Low Back Pain\" href=\"\/Low_Back_Pain\">Low Back Pain<\/a><\/li>\n<li><a title=\"Lumbar Assessment\" href=\"\/Lumbar_Assessment\">Lumbar Assessment<\/a><\/li>\n<li><a title=\"Low Back Pain Guidelines\" href=\"\/Low_Back_Pain_Guidelines\">Low Back Pain Guidelines<\/a><\/li>\n<li><a title=\"Diff\u00e9rencier les maux de dos d\u2019origine inflammatoire des maux de dos d\u2019origine m\u00e9canique\" href=\"\/Differentiating_Inflammatory_and_Mechanical_Back_Pain\">Diff\u00e9rencier les maux de dos d\u2019origine inflammatoire des maux de dos d\u2019origine m\u00e9canique<\/a><\/li>\n<li><a title=\"Non Specific Low Back Pain\" href=\"\/Non_Specific_Low_Back_Pain\">Non Specific Low Back Pain<\/a><\/li>\n<li><a title=\"Specific Low Back Pain\" href=\"\/Specific_Low_Back_Pain\">Specific Low Back Pain<\/a><\/li>\n<\/ul>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Lumbar_Differential_Diagnosis&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">M.Hancock. Approach to low back pain. RACGP, 2014, 43(3):117-118.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Hall AM, Aubrey-Bassler K, Thorne B, Maher CG. <a class=\"external text\" href=\"https:\/\/www.bmj.com\/content\/372\/bmj.n291.full\" rel=\"nofollow\">Do not routinely offer imaging for uncomplicated low back pain.<\/a> bmj. 2021 Feb 12;372.<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Almeida M, Saragiotto B, Richards B, Maher C. Primary care management of non-specific low back pain: key messages from recent clinical guidelines. Med J Aust 2018; 208 (6): 272-275<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Traeger A, Buchbinder R, Harris I, Maher C. Diagnosis and management of low-back pain in primary care. CMAJ. 2017 Nov 13;189(45):E1386-E1395.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Koes BW, Van Tulder M, Thomas S. Diagnosis and treatment of low back pain. Bmj. 2006 Jun 15;332(7555):1430-4.<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Otero-Ketterer E, Pe\u00f1acoba-Puente C, Ferreira Pinheiro-Araujo C, Valera-Calero JA, Ortega-Santiago R. <a class=\"external text\" href=\"https:\/\/www.mdpi.com\/1660-4601\/19\/16\/10145\" rel=\"nofollow\">Biopsychosocial Factors for Chronicity in Individuals with Non-Specific Low Back Pain: An Umbrella Review<\/a>. International Journal of Environmental Research and Public Health. 2022 Aug 16;19(16):10145.<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Balagu\u00e9, Federico, et al. \u00ab\u00a0Non-specific low back pain.\u00a0\u00bb The Lancet 379.9814 (2012): 482-491. Level of evidence 1A<\/span><\/li>\n<li id=\"cite_note-:0-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_8-1\">8.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_8-2\">8.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_8-3\">8.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_8-4\">8.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_8-5\">8.5<\/a><\/sup> <sup><a href=\"#cite_ref-:0_8-6\">8.6<\/a><\/sup> <sup><a href=\"#cite_ref-:0_8-7\">8.7<\/a><\/sup><\/span> <span class=\"reference-text\">Rainey N. Differential Diagnosis Course. Physiopedia Plus. 2023.<\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Hock M, J\u00e1romi M, Pr\u00e9musz V, Szekeres ZJ, \u00c1cs P, Szil\u00e1gyi B, Wang Z, Makai A. <a class=\"external text\" href=\"https:\/\/www.mdpi.com\/1660-4601\/19\/19\/12024\" rel=\"nofollow\">Disease-Specific Knowledge, Physical Activity, and Physical Functioning Examination among Patients with Chronic Non-Specific Low Back Pain.<\/a> International Journal of Environmental Research and Public Health. 2022 Sep 23;19(19):12024.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Burton AK, Tillotson KM, Main CJ, Hollis S. Psychosocial predictors of outcome in acute and subchronic low back trouble. Spine (Phila Pa 1976). 1995 Mar 15;20(6):722-8.Level of evidence 3C<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Al-Hihi E, Gibson C, Lee J, Mount RR, Irani N, McGowan C. <a class=\"external text\" href=\"https:\/\/bmjopenquality.bmj.com\/content\/11\/1\/e001539.abstract\" rel=\"nofollow\">Improving appropriate imaging for non-specific low back pain.<\/a> BMJ Open Quality. 2022 Feb 1;11(1):e001539.<\/span><\/li>\n<li id=\"cite_note-:1-12\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_12-0\">12.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_12-1\">12.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_12-2\">12.2<\/a><\/sup> <sup><a href=\"#cite_ref-:1_12-3\">12.3<\/a><\/sup><\/span> <span class=\"reference-text\">Casser HR, Seddigh S, Rauschmann M. <a class=\"external text\" href=\"https:\/\/www.aerzteblatt.de\/int\/archive\/article\/175585\" rel=\"nofollow\">Acute lumbar back pain: investigation, differential diagnosis, and treatment<\/a>. Deutsches \u00c4rzteblatt International. 2016 Apr;113(13):223.<\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Kreiner DS, Shaffer WO, Baisden JL, Gilbert TJ, Summers JT, Toton JF, Hwang SW, Mendel RC, Reitman CA. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update). The Spine Journal. 2013 Jul 1;13(7):734-43.<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Tenny S, Gillis CC. Spondylolisthesis. (Updated 2022 May 24). In: StatPearls (Internet). Treasure Island (FL): StatPearls Publishing; 2022 Jan-. 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