title: Abdominal and urogenital diseases can often be the cause of lower back pain and sciatic-like symptoms.
abstract: SUMMARY The treatment of lower back pain and sciatic-type symptoms are often not related to spinal cord infringement, but are due to other factors such as urogenital irritation and piriformis syndrome. Other factors can exist and it behooves the physician to make a definitive diagnosis in order to prevent treating with medicines and treatments that often do not work. Medicines in high doses can lead to dependence or addiction. A normal MRI test is often a flag to the physician that something other than spinal problems may be the cause. A complete workup must be performed including imaging procedures, diagnostic testing and specialized physical examinations if initial diagnosis and treatments do not produce an amelioration of symptoms. There are many causes of chronic lower back pain and sciatica-type symptoms and if the problems and symptoms persist, they should be investigated.
authors.affiliation: Departments of Obstetrics/Gynecology, Virginia Commonwealth University & Eastern Virginia Medical School, 19109 Annapolis Way, Gaithersburg, MD 20886, USA. endodoc11@gmail.com.
authors.forename: John D
authors.initials: JD
authors.lastname: Paulson