Central Low Back Pain and Pelvic Dysfunction

Abstract

Centralized low back and pelvic pain is a common condition that mostly resolves with minimal nonspecific treatment. Persistence of the pain is invariably ascribed to intervertebral disc prolapse, facet joint disease, or in the young athletic patient, to spondylolysis. There are, however, a number of other conditions that can be confusing and considered unusual, although they occur with a higher frequency in particular populations. These conditions include stress fracture of the sacrum and occasionally, benign tumors such as osteoid osteomas. Several of these conditions have been covered in earlier sections of this chapter.