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© 1990 British Society for Rheumatology

other

A CLINICAL EPIDEMIC-LOGICAL STUDY IN LOW BACK PAIN. DESCRIPTION OF TWO CLINICAL SYNDROMES

G. COLLÈE, B. A. C. DIJKMANS, J. P. VANDENBROUCKE*, P. M. ROZING{dagger} and A. CATS

Departments of Rheumatology, University of Leiden The Netherlands
*Departments of Clinical Epidemiology, University of Leiden The Netherlands
{dagger}Departments of Orthopaedic Surgery, University of Leiden The Netherlands

Correspondence to: Correspondence to Dr G. Collee, Department of Rheumatology, University Hospital, Building 1, C2-Q, PO Box 9600, 2300 RC Leiden, The Netherlands

In 100 patients with mainly chronic low back pain (LBP) signs and symptoms were evaluated prospectively and without preconceived expectation of particular findings. Two clinical syndromes were distinguished, both characterized by 'typical local tenderness' and associated with specific clinical features; these syndromes, described previously in the literature but receiving scant attention, were named the greater trochanteric pain syndrome (trochanteric bursitis) and the iliac crest pain syndrome (iliolumbar syndrome), and occurred in 35% and 43% of the patients, respectively. The recognition of these syndromes may enable us to study aetiology, prognosis, and therapy of LBP in more homogeneous groups of patients

KEY WORDS: Low back pain, Regional pain syndromes, Greater trochanteric pain syndrome, Trochanteric bursitis, Iliac crest pain syndrome, Iliolumbar ligament syndrome


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