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A patho-anatomical approach to chronic lumbar spinal pain—an Australian perspective 

A patho-anatomical approach to chronic lumbar spinal pain—an Australian perspective
Chapter:
A patho-anatomical approach to chronic lumbar spinal pain—an Australian perspective
Author(s):

Tom Baster

DOI:
10.1093/med/9780199674107.003.0006
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date: 30 September 2020

Chronic lumbar spinal pain is a common presentation in Australian medical practice. Using an understanding of the prevalence of the underlying patho-anatomical causes and clinical reasoning, combined with some appropriate investigations, it is possible to form a clinical diagnosis. Most cases will involve pain that is arising from the lumbar discs, the zygoapophysial joints, or the sacroiliac joints. Treatment will involve analgesic or other medications, guided injections, or radio-frequency neurotomy. While treatment for discogenic pain is still difficult, a patho-anatomical diagnosis provides some validation that the patient has a legitimate medical condition.

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