Vnitr Lek 2026, 72(3):193-196 | DOI: 10.36290/vnl.2026.040

Musculoskeletal pain - osteoporosis, or non-specific back pain?

Vlasta Tošnerová
Fakulta zdravotnických studií UPCE, Pardubice

Introduction: The question often arises as to how spinal pain is related to osteoporosis, or whether it is mainly non-specific back pain, vertebrogenic algic syndrome. Distinguishing the origin of pain is related to basic clinical specializatiin and the extension field of Rehabilitation and Physical Medicine. Interdisciplinary, it is appropriate, in addition to laboratory and imaging methods, which are related to basic fields, to supplement the examination with active range of motion, passive range of motion and range of motion to the segment in addition to a structured history. Palpation of muscles, fascia, skin, subcutaneous tissue and periosteal points is also necessary. Content: The article contains some specific screening clinical tests and pain management using rehabilitation, physiotherapy and myoskeletal medicine.

Conclusion: Osteoporosis has clinical symptoms, which also include pain. Understanding the origin of pain creates an interesting collaboration between disciplines dealing with pain in the musculoskeletal system. This collaboration should be deepened in an interdisciplinary manner. The field of Rehabilitation and Physical Medicine (RFM) is a supplementary field and performs examination and treatment of musculoskeletal system dysfunction and thus follows up on the diagnostics and treatment of other fields. It is advisable that all doctors increasingly be aware of triage, that is, the classification of back pain according to severity and urgency, where back pain of other etiology is also considered.

Keywords: spinal pain, osteoporosis, structural changes, non-specific back pain, vertebrogenic algic syndrome, triage.

Accepted: April 23, 2026; Published: May 18, 2026  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Tošnerová V. Musculoskeletal pain - osteoporosis, or non-specific back pain? Vnitr Lek. 2026;72(3):193-196. doi: 10.36290/vnl.2026.040.
Download citation

References

  1. Stecco C, Stern R, Stecco A, et al. Fascial components of the myofascial pain syndrome. Curr Pain Headache Rep. 2013;17(8):352. Go to original source... Go to PubMed...
  2. Čihák R. Anatomie 1. Praha: Grada Publishing; 2001. 516 s.
  3. Sawicki P, Tałałaj M, Życińska K, et al. Comparison of the Characteristics of Back Pain in Women with Postmenopausal Osteoporosis with and without Vertebral Compression Fracture: A Retrospective Study at a Single Osteoporosis Center in Poland. Med Sci Monit. 2021;27:e930250. Go to original source... Go to PubMed...
  4. Lewit K. Manipulační léčba. Praha: Euromedia Group, Universum; 2024. 464 s.
  5. Zhang H, Yang B, Hao D, et al. Pain Location Is Associated with Fracture Type in Acute Osteoporotic Thoracolumbar Vertebral Fracture: A Prospective Observational Study. Pain Med. 2022;23(2):263-268. Go to original source... Go to PubMed...
  6. Javadov A, Ketenci A, Aksoy C. The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome. Pain Physician. 2021;24(3):223-233. Go to original source...
  7. Crystrian B, et al. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. European spine journal, 2018. doi.org/10.1007/s00586-018-5673-2.




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.