NCLEX RN Practice question # 688

NCLEX Examination.

Practice question # 688.


Low back pain is a common symptom. It is often traumatic and work-related, although lifting apparatus and other mechanical devices and improved office seating help to avoid it. Episodes are generally short-lived and self-limiting, and patients attend a physiotherapist or osteopath more often than a doctor. Chronic back pain is the cause of 14% of long-term disability in uk.

Causes of back pain,

Mechanical causes of back pain

  • Trauma
  • Muscular and ligamentous pain
  • Fibrositic nodulosis
  • Postural back pain (sway back)
  • Lumbar spondylosis
  • Facet joint syndrome
  • Lumbar disc prolapse
  • Spinal and root canal stenosis
  • Spondylolisthesis
  • Disseminated idiopathic skeletal hyperostosis (DISH)
  • Fibromyalgia, chronic widespread pain

Inflammatory causes:

  • Infective lesions of the spine.
  • Ankylosing spondylitis/sacroiliitis.

Metabolic causes:

  • Osteoporotic spinal fractures
  • Osteomalacia
  • Paget’s disease

Neoplastic  causes:

  • Metastases
  • Multiple myeloma
  • Primary tumours of bone

Referred pain

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