Which musculoskeletal disorders are associated with chronic pain syndrome (CPS)?

Updated: Jan 14, 2020
  • Author: Manish K Singh, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Musculoskeletal disorders commonly associated with chronic pain include the following:

  • Osteoarthritis/degenerative joint disease/spondylosis (see the image below)

    Osteoarthritis of the knee, Kellgren stage III. Osteoarthritis of the knee, Kellgren stage III.
  • Rheumatoid arthritis (see the image below)

    T1-weighted sagittal magnetic resonance imaging (M T1-weighted sagittal magnetic resonance imaging (MRI) scan of the cervical spine in a patient with rheumatoid arthritis shows basilar invagination with cranial migration of an eroded odontoid peg. There is minimal pannus. The tip of the peg indents the medulla, and there is narrowing of the foramen magnum, due to the presence of the peg. Inflammatory fusion of several cervical vertebral bodies is shown.
  • Lyme disease

  • Reiter syndrome

  • Disk herniation/facet osteoarthropathy

  • Fractures/compression fracture of lumbar vertebrae

  • Faulty or poor posture

  • Polymyalgia rheumatica

  • Mechanical low back pain

  • Muscular strains and sprains

  • Pelvic floor myalgia (levator ani spasm)

  • Piriformis syndrome (see the image below)

    Nerve irritation in the herniated disk occurs at t Nerve irritation in the herniated disk occurs at the root (sciatic radiculitis). In piriformis syndrome, the irritation extends to the full thickness of the nerve (sciatic neuritis).
  • Rectus tendon strain

  • Hernias (eg, obturator, sciatic, inguinal, femoral, spigelian, perineal, umbilical)

  • Abdominal wall myofascial pain (trigger points)

  • Chronic overuse syndromes (eg, tendonitis, bursitis)


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