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Backache is one of the most common complaints seen in general practice and orthopaedic clinics. Most causes are either traumatic or degenerative, but other causes are numerous and may occur as a result of pathology in almost any system of the body.
Kyphoscoliosis
Spina bifida
Spondylolisthesis
Vertebral fractures
Ligamentous injury
Joint strain
Muscle tears
Osteomyelitis – acute and chronic
TB • (common in parts of the world where TB is endemic)
Discitis
Ankylosing spondylitis ( Fig. 6 )
Rheumatology disorders
Metastases – multiple myeloma
Primary sarcomas
Osteoarthritis
Intervertebral disc lesions
Osteoporosis (associated vertebral fractures)
Osteomalacia
Cushing’s disease (osteoporosis)
Paget’s disease
Scheuermann’s disease
Psychosomatic backache
Penetrating peptic ulcer
Carcinoma of the pancreas
Carcinoma of the rectum
Aortic aneurysm
Acute aortic dissection
Renal calculus
Carcinoma of the kidney
Inflammatory disease
Pelvic inflammatory disease
Endometriosis
Uterine tumours
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