Chronic Pain Syndrome Differential Diagnoses
- Author: Manish K Singh, MD; Chief Editor: Stephen Kishner, MD, MHA more...
Musculoskeletal and neuropsychological disorders
Musculoskeletal and neuropsychological diseases to consider in the differential diagnosis of chronic pain syndrome (CPS) include the following:
- Hernias (eg, obturator, sciatic, inguinal, femoral, perineal, spigelian, umbilical)
- Neoplasia of the spinal cord or sacral nerves
- Mononeuropathy and nerve entrapment
- Abdominal epilepsy
- Abdominal migraines
- Pelvic floor pain syndrome
- Rectus abdominis pain
- Faulty posture and chronic pelvic pain
- Bipolar disorders and depression
- Chronic visceral pain syndrome
- Chronic fatigue syndrome
- Substance abuse
Reproductive system disorders
Conditions related to the reproductive system to consider in the differential diagnosis of CPS include the following:
- Adnexal cysts
- Cervical stenosis
- Endocervical and endometrial polyps
- Endometriosis and endosalpingiosis
- Uterine leiomyomas
- Ovarian retention syndrome
- Ovarian remnant syndrome
- Pelvic varicosities and pelvic congestion syndrome
- Pelvic floor relaxation disorders
- Accessory and supernumerary ovaries
Urinary system disorders
Urinary conditions to consider in the differential diagnosis of CPS include the following:
- Chronic and recurrent urinary tract infections
- Pelvic floor dysfunction
- Urethral diverticulum
- Chronic urethral syndrome
Gastrointestinal system disorders
GI conditions to consider in the differential diagnosis of CPS include the following:
- Chronic intermittent bowel obstruction
- Chronic constipation
- Diverticular disease
- Inflammatory bowel disease
- Irritable bowel syndrome
- Peritoneal cysts
Other conditions to consider in the differential diagnosis of CPS include the following:
- Lateral epicondylitis
- Lumbar degenerative disk disease
- Lumbar facet arthropathy
- Lumbar spondylolysis and spondylolisthesis
- Mechanical low back pain
- Medial epicondylitis
- Meralgia paresthetica
- Mononeuritis multiplex
- Morton neuroma
- Myofascial pain
- Neoplastic brachial plexopathy
- Neoplastic lumbosacral plexopathy
- Osteoporosis and spinal cord injury
- Piriformis syndrome
- Plantar fasciitis
- Radiation-induced brachial plexopathy
- Radiation-induced lumbosacral plexopathy
- Rotator cuff disease
- Thoracic outlet syndrome
- Traumatic brachial plexopathy
- Trochanteric bursitis
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