Regional Back Pain

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Abstract
Most patients with low back pain have a regional backache — i.e., one that is not caused by systemic disease. They have suffered no overtly traumatic precipitating event, and they would be well were it not for their use-related pain.1 Occasionally, however, a patient has a systemic disease that presents as a backache. Identifying these exceptional cases is the first clinical challenge, and the following caveats may help.First, backache is increasingly common in the later decades of life, but elderly people either seldom complain or are seldom heard. When they do present with such pain, a physician should take . . .

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