A Quick and Comprehensive Guide to Differential Diagnosis of Neck and Back Pain: a Narrative Review
- PMID: 36320816
- PMCID: PMC9610337
- DOI: 10.1007/s42399-022-01321-y
A Quick and Comprehensive Guide to Differential Diagnosis of Neck and Back Pain: a Narrative Review
Abstract
The list of diagnostic options when approaching a patient with axial pain is impressively complex. Many offer limited diagnostic workups, but we could not find a truly comprehensive diagnostic guide to assist in the diagnostic evaluation. In this short paper, we briefly described a long list of medical conditions, each of which can manifest as back or neck pain, and whose prevalence ranges from common to very rare. We then proposed an algorithm for classifying them into subgroups. Further referral to diagnostic tests and specialist consultations, after assignment to one of those subgroups, could save time and unnecessary tests. We believe that this review and the proposed diagnostic algorithm can be valuable for medical education and for use in the primary care setting for the diagnostic evaluation of any type of back or neck pain in all patient groups.
Keywords: Back pain; Classification; Diagnostic tests; Differential diagnosis; Neck pain; Radiculopathy; Workup.
© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
Conflict of interest statement
Conflict of InterestThe authors declare no competing interests.
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