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Rugpijn, lage

  • H. Schers
  • P. Willems
Chapter

Lage rugpijn wordt gedefinieerd als pijn gelokaliseerd in het gebied tussen de schouderbladen en de bilplooien. Pijn in de lendenen valt buiten de definitie.1 Er zijn vele viscerale aandoeningen en aandoeningen van de huid, zoals herpes zoster, die pijn in de rug kunnen veroorzaken, maar in het kader van dit hoofdstuk zullen deze aandoeningen buiten beschouwing worden gelaten. Ook de ziekte van Scheuermann, waarbij een groeistoornis in de adolescentie leidt tot kyfose van de thoracale wervelkolom, wordt hier niet besproken, omdat deze aandoening in beginsel niet tot rugpijn leidt.2 3 4 In de praktijk wordt vooral aspecifieke rugpijn gezien, dat wil zeggen dat geen specifieke oorzaak voor de rugpijn kan worden aangetoond. Dit wordt ook wel lumbago genoemd. Men spreekt van spit wanneer de rugpijn acuut ontstaat. Ook het lumbosacraal radiculair syndroom wordt frequent gezien. Hierbij is er sprake van uitstralende pijn tot voorbij de knie, meestal ten gevolge van een uitpuilende tussenwervelschijf (hernia nuclei pulposi). In de volksmond heet dit ook wel hernia of ischias.

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Copyright information

© Bohn Stafleu van Loghum 2007

Authors and Affiliations

  • H. Schers
    • 1
  • P. Willems
    • 2
  1. 1.afdeling HuisartsgeneeskundeUniversitair Medisch Centrum St. RadboudNijmegen
  2. 2.Atrium Medisch CentrumHeerlen

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