Clinical Assessment of Low Back Pain: A Neurosurgical Point of View

• Main Authors: Alessandro Landi Researcher, Giovanni Grasso Professor, Davide Colistra Resident, Angela Ambrosone Resident, Roberto Delfini Professor and Chief
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2016-12-01
• Series: International Journal of Recent Surgical and Medical Sciences
• Subjects: clinical diagnosis; low back pain; lumbar spine pathology; neurological tests; physical exam
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.5005/jp-journals-10053-0015

The diagnosis of low back pain (LBP) is complex and multifactorial, and a clear etiology responsible for the symptoms is often not detectable. Clinical history and neurological examination are essential for differential diagnosis, because they allow the identification of the specific pathology. The radiological investigation allows to confirm diagnosis, but the indication must always be correlated with clinical findings to not perform unnecessary diagnostic procedures. Management of LBP can involve many specialists – neurosurgeon, orthopedist, physiatrist, physiotherapist – everyone with different knowledge and experience because very often the cause is multifactorial. However, it is mandatory to clarify diagnosis of LBP; in this way, the clinical pathway is fundamental to understand pathogenesis and to determine appropriate treatment.