Nonspecific Low Back Pain (LBP) Can Occult a Serious Pathology: Case Report of Multiple Sclerosis (MS) in a Young Patient

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Acta Medica International,2016,3,1,202-206.
Published:January 2016
Type:Case Report

Nonspecific Low Back Pain (LBP) Can Occult a Serious Pathology: Case Report of Multiple Sclerosis (MS) in a Young Patient

Maselli Filippo1, Pennella Denis2, Cataldi Fabio3, Albertoni Bruno Davide4, Ciuro Aldo5

1Lecturer of Genova University, DINOGMI Department, Italy,

2Lecturer of Roma Tor Vergata University, Italy,

3Assistant Lecturer of Roma Tor Vergata University, Italy,

4Lecturer of Genova University, DINOGMI Department, Italy,

5Lecturer of Genova University, DINOGMI Department, Italy

Abstract:

Low Back Pain (LBP) is one of the main causes of disability in the whole world. In most cases, its presentation is considered benign and usually managed quite easily. However, in a low percentage of cases LBP is secondary to a serious pathology. Patients with Multiple Sclerosis (MS), for instance, are often affected also by LBP, and LBP could also be an initial symptom of MS. Moreover, patients with MS can present with a w ide range of clinical symptoms, as the Restless Legs Syndrome – RLS. In these specific cases, the ability to recognize a serious pathology is a key component of the physical therapist practice. Both conditions, nonspecific LBP and RLS, have been found in a patient that was referred with diagnosis of bilateral sciatica.

Localization of bilateral and unilateral symptoms in first clinical examination