Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
Some low back patients with acute pain don't get better. They become chronic pain patients. This study shows how the fear of pain more than the pain itself actually predicts who will transition from acute to chronic low back pain (LBP). And fear that is linked with pain is also linked with restricted physical movement. In the end the acute LBP patient sees himself as more disabled than he really is based on pain-related fear. The authors came to these conclusions by studying 96 men and women with acute LBP. Each one lifted a 15- pound bag from the floor to a table. Then the bag was lifted off the table and set on the floor again. The number of times the bag was lifted and the total lifting time were recorded. The authors make note of the fact that the average adult would not have any trouble lifting 15 pounds repeatedly. But someone with back pain may feel threatened by the task. Before starting the lifting task each person filled out several forms. The surveys asked questions about age...
Nonspecific back pain refers to pain in the back due to an unknown cause.
Back pain - nonspecific
Causes, incidence, and risk factors
Back pain is one of the most common complaints treated by physicians. Nearly four out of five people will have back pain at some time in their life. Most of the time, the exact cause of the pain can not be found.
can develop in association with a number of causes, including muscle strain
, injury to the back, overuse, muscle disorders, pressure on a nerve root, poor posture, and many others. Pregnant women, smokers, construction workers, and people who do repetitive lifting all have increased risk of back pain. (See also low back pain
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