Diagnosis Banding

DIAGNOSIS BANDING Diagnosis banding dari NPB yang sering terjadi dapat dilihat pada tabel di bawah ini.

12

Patel AT, Ogle AA. Diagnosis and management of a!te low ba" pain. A#ailable from$ %&'http$((www.afp(low)2*ba")2*pain+Diagnosis)2*anagement)2*of)2*A!te %&'http$((www.afp(low)2*ba")2*pain+Diagnosis)2*anagement)2*of)2*A!te )2*'ow

Disease or  condition

Ba" strain

 A!te dis

Patient age (years) 2* to -*

/* to 0*

herniation

Osteoarthritis or

40*

spinal stenosis

pondylolisthesis

Any ag age

Location

Quality of 

of pain

pain

'ow ba",

 Ahe, spasm

Aggravating or  relieving

Signs

factors nreased with

'oal tenderness,

b!tto",

ati#ity or

limited spinal

posterior

bending

motion

thigh 'ow ba"

harp,

Dereased with

Positi#e straight

to lower leg

shooting or

standing

leg raise test,

b!rning pain,

inreased with

wea"ness,

paresthesia in

bending or

asymmetri

'ow ba"

leg  Ahe,

sitting nreased with

refle3es ild derease in

to lower

shooting pain,

wal"ing,

e3tension of spine

leg often

5pins and

espeially !p an

may ha#e

bilateral

needles6

inline

wea"ness or

sensation

dereased with

asymmetri

 Ahe

sitting nreased with

refle3es 73aggeration 73aggeration of

posterior

ati#ity or

the l!mbar !r#e,

thigh

bending

palpable 5step off6

Ba",

8defet between spino!s proesses9, tight  An"ylosing

10 to to -* -*

spondylitis

nfetion

Any age

aroilia

 Ahe

orning stiffness stiffness

hamstrings Dereased ba" ba"

 joints,

motion, tenderness

l!mbar

o#er saroilia

spine '!mbar

harp pain,

 joints ;e#er, per!ssi#e

spine,

ahe

sar!m

:aries

tenderness may ha#e ne!rologi

abnormalities or dereased motion alignany

40*

Affeted

D!ll ahe,

nreased with

bone8s9

throbbing

re!mben

pain slowly progressi#e Nyeri p!ngg!ng bawah dapat dibeda"an berdasar"an penyebab me"ani", non

Pengg!naan steroid jang"a panjang

 >

%sia 4 @* tah!n

indroma "a!da e"!ina ata!

 >

&etensi !rin a"!t ata! in"ontinensia o#erflow

defisit ne!rologi" berat

 >

n"ontinensia al#i ata! atonia sfingter ani

 >

addle anesthesia

 >

Paraparesis progresif ata! paraplegia

;ra"t!r #ertebra

DA!A" P#S!A$A 1. '!bis . 7pidemiologi Nyeri P!ngg!ng Bawah. Dalam$ eliala ', Nyeri P!ngg!ng Bawah, =elompo" t!di Nyeri Perhimp!nan Do"ter pesialis araf ndonesia. a"arta, 2**/. 2. eliala '. Patofisiologi dan Penatala"sanaan Nyeri P!ngg!ng Bawah . Dalam eliala ', !ryono B, ibowo . =!mp!lan a"alah Pertem!an lmiah  ndonesian Pain oiety, Cogya"arta, 2**/. /. irawan. Diagnosis dan Penatala"sanaan Nyeri Pinggang. Dalam onarto. imposi!m &emati" Pengenalan dan Pengelolaan Artropati eronegatif, Bagian Penya"it Dalam ;= %ndip, emarang, 1E.

-. =asjmir C. Penatala"sanaan edi" Nyeri P!ngg!ng Bawah. Dalam eliala ', !ryono B, ibowo . =!mp!lan a"alah Pertem!an lmiah  ndonesian Pain oiety, Cogya"arta, 2**/. 0. heeler AF, t!bbart . Pathophysology of hroni ba" pain. %p date April 1/, 2**G. www.emedicine.com/neuro/topic516.htm G. '!bis . 7pidemiologi Nyeri P!ngg!ng Bawah. Dalam$ eliala ', Nyeri P!ngg!ng Bawah, =elompo" t!di Nyeri Perhimp!nan Do"ter pesialis araf ndonesia. a"arta, 2**/. @. A!lina . Anatomi dan Biome"ani" T!lang Bela"ang. Dalam$ eliala ', Nyeri P!ngg!ng Bawah, =elompo" t!di Nyeri Perhimp!nan Do"ter pesialis araf ndonesia. a"arta, 2**/. E. Adam &D, :itor , &opper AF. Priniples of ne!rology. @th ed. Hraw Fill o. New Cor". 2**0$ 1-