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Musculoskeletal Lower Back Pain


Presentation

  • Brian White said during a presentation at the annual meeting of the American Academy of Pain.[mdedge.com]
  • The present study, based on the premise that these disorders should be prevented in an environment adapted to firefighters’ work, proposes an analysis of the physical constraints associated with the layouts of firefighting vehicles.[irsst.qc.ca]
  • Sacral chordomas, especially, can be present for a prolonged period before symptoms appear. 13 Pain in the low back and sacral region is one of the most common presenting symptoms.[ncbi.nlm.nih.gov]
  • Secondly, we studied the prevalence of the health problems presented to the GPs in the cases and compared it to that presented by their matched patients from the contrast group.[academic.oup.com]
  • In general, back pain can present at any time during pregnancy, but is most prevalent in the second half and may be described as pain that is aggravated by activity and relieved with rest.[practicalpainmanagement.com]
Pain
  • Some radicular pain can also be classified as sciatic nerve pain, a very common and painful condition. Sciatic Nerve Pain Sciatica is also a very common type of lower back pain.[pennmedicine.org]
  • In a study involving adolescents with pain, ( Pain. 2012;153[9]:1932-8 ), obese adolescents had a 1.33 odds ratio (OR) of having any kind of pain, a 2.04 OR for chronic regional pain, and a 1.87 OR for knee pain specifically ( P less than .05), compared[mdedge.com]
  • Return to Top of Lower Back Pain Causes Go to The Cause of Lower Back Pain: A Neuromuscular Perspective Go to Lower Back Pain Answers Home Page Recommend this page...[lower-back-pain-answers.com]
  • Many people blame their bed or mattress for their back pain because the pain is worse when they wake up in the morning.[pelvipro.com]
Abdominal Obesity
  • In a study of chronic pain in the elderly ( Pain. 2011;152[1]:53-9 ), individuals with abdominal obesity had a higher risk for chronic lumbar pain (OR 2.25); upper extremity pain (OR 2.01); and pain in either the hip, knee, or any lower extremity (OR[mdedge.com]
  • A healthy diet is also important as there is growing evidence that abdominal obesity (fat around your belly) is associated with back pain and can cause inflammation.[painhealth.csse.uwa.edu.au]
Coarctation of the Aorta
  • Category: Blog , Podcasts Tagged: acute hip pain , alprostadil , Anterior cord syndrome , apical nerve block , Brown Sequard , Central cord , chin , coarctation of the aorta , complete loss of motor , contralateral loss of pain , Ductal dependent cardiac[roshreview.com]
Underweight
  • Body Mass Index (BMI) was calculated with the formula of weight (kg)/ height (metre) 2 and was classified as underweight (BMI 2 ), normal weight (BMI 18.5–24.9 kg/m 2 ), overweight (BMI 25.0–29.9 kg/m 2 ) and obese (BMI 30.0 kg/m 2 ) [ 23 ].[journals.plos.org]
Back Pain
  • Return to Top of Lower Back Pain Causes Go to The Cause of Lower Back Pain: A Neuromuscular Perspective Go to Lower Back Pain Answers Home Page Recommend this page...[lower-back-pain-answers.com]
  • Once the cause is identified, lower back pain is easily prevented and treated. Penn Medicine offers an online assessment test to help you learn when it is time to see a doctor for your back pain.[pennmedicine.org]
  • An Australian study ( Eur J Pain. 2013;17(7):957-71 ) that reviewed low back pain studies in twins found that obesity was an indicator (OR 1.9) and that “both obesity and smoking demonstrated dose-dependant relationships with lower back pain,” said Dr[mdedge.com]
Low Back Pain
  • Study participants with a BMI greater than 30 at baseline were more likely to develop low back pain than were those with a baseline BMI under 25. Dr. White did not report any relevant financial disclosures. dchitnis@frontlinemedcom.com[mdedge.com]
  • Other names for musculoskeletal lower back pain mechanical low back pain soreness of the lumbosacral region[ada.com]
  • The risk of Low Back Pain related to degenerative spine disease increases with aging. How is Low Back Pain diagnosed? The diagnosis of low back pain begins with a physical exam, usually of the spine and legs.[aanem.org]
  • Chronic muscular contraction is one of the chief causes of low back pain. Postural Distortion - If the body is not balanced and upright in gravity then muscular imbalance can develop causing postural distortion.[lower-back-pain-answers.com]
  • Low-Back Pain Occurrence The prevalence estimates of low-back pain vary depending on the definitions used in different surveys.[iloencyclopaedia.org]
Muscle Spasm
  • Muscle Spasms Less common than non-specific muscular pain, muscle spasms are also a common manifestation of lower back pain. Muscle spasms occur when the back muscles involuntarily contract.[pennmedicine.org]
  • Back pain, back stiffness and back muscle spasms are typical symptoms. Treatment depends upon the cause of the pain. Risks The muscles of the back are almost constantly in use, and because of this, tend to get injured often.[ada.com]
  • Other medicines such as muscle relaxants control muscle spasms. These medicines often cause sedation; therefore, consult your doctor to discuss about the type of muscle relaxants for your child. Your doctor may also suggest a rehabilitation program.[rheumatologyspecialistcare.com.au]
  • Back pain itself is not considered a diagnosis, but rather a symptom of underlying (in most cases musculoskeletal) problems. [2] following: Vertebrae misalignment, which can cause nerve interference (also called subluxation), [3] muscle tension, or muscle[en.wikipedia.org]
  • The pain can also include muscle spasms and cramps. Tendon and ligament pain: Pains in the tendons or ligaments are often caused by injuries, including sprains.[my.clevelandclinic.org]
Acute Low Back Pain
  • Acute Low Back Pain: Ongoing Management and Objectives If acute low back pain has not improved in 2 weeks: re-evaluate for “red flags”, change NSAID, and refer to Physical Therapy for evaluation and treatment while continuing to follow patient.[austinmassageclinic.com]
  • Only the common cold prompts more people to see a practitioner than acute low back pain.[blog.thesullivangroup.com]
  • Most of the time, acute low-back pain is the result of simple strain and is a self-limiting condition that will resolve in four to six weeks, with or without treatment.[sciencebasedmedicine.org]
  • Diagnosis and treatment of acute low back pain. Am Fam Physician. 2012 Feb 15;85(4):343-50. Foley et al. Prevalence and natural history of pain in adults with multiple sclerosis: systematic review and meta-analysis. Pain . 2013 May;154(5):632-42.[verywellhealth.com]
  • Acute low back pain is most often caused by a sudden injury to the muscles and ligaments supporting the back. The pain may be caused by muscle spasms or a strain or tear in the muscles and ligaments.[physioworks.com.au]
Osteophyte
  • Such symptoms could be caused by disk herniation, osteophyte formation, or some other pathological process.[sciencebasedmedicine.org]
  • Bone spurs, sometimes called osteophytes, may also form around the disc space. These bones spurs can also form around the facet joints. This is thought to be due to the body’s response to try to stop the excess motion at the spinal segment.[nynjcmd.com]
Irritability
  • Chemicals released from the inside of the disc seem to irritate nerve tissue, causing pain and inflammation of the nerve. Abnormal pressure or irritation on a particular nerve causes several problems.[nynjcmd.com]
  • If positive, these manuvers suggest the nerve is being irritated by a mechanical cause, usually the verebral bones or herniated disc. The irritative nerves form the sciatic nerve, leading to sciatica.[stanfordmedicine25.stanford.edu]
  • The Law of Generalization states that: "When the irritation becomes very intense it is propagated in the medulla oblongata (lower half of the brain stem), which becomes the focus from which stimuli radiate to all parts of the (spinal) cord, causing a[lower-back-pain-answers.com]
  • Examples of triggers that may irritate your spasticity include heat exposure (called the Uthoff phenomenon ), infection, sudden changes in position or movement, tight or irritating clothing, or a full bladder or bowel.[verywellhealth.com]
  • Strained muscles [6] Sprained ligaments [6] Ruptured disks, [6] which also called "slipped", [7] or herniated disks [2] Degenerative discs (lose their cushioning ability). [2] The degeneration usually caused by repetitive strain, or injury, or aging. [8] Irritated[en.wikipedia.org]
Confusion
  • Sacroiliac Joint Dysfunction - Often confused with Sciatica , Sacroiliac Joint Dysfunction causes pain due to either hypomobility or hypermobility of one or both sacroiliac joints.[lower-back-pain-answers.com]
  • As an attempt to resolve the confusion the Quebec Task Force on Spinal Disorders carried out a comprehensive and critical literature review and ended up recommending the use of the classification for low-back pain patients shown in table 3. Table 3.[iloencyclopaedia.org]
  • We tried to limit the risk of confusion bias by matching our samples according to four variables. Age and gender are known to influence morbidity ( 38 ).[academic.oup.com]
Burning Sensation
  • The pain can be sharp, dull, aching or with tingling or burning sensations. Pain can differ from person to person and also may involve radiating pain to the hip or even further down. Certain movements may make the pain better or worse.[ada.com]
  • You may have a tingling or burning sensation, a dull achy feeling, or sharp pain. Depending on the cause and severity, you also may have weakness in your legs or feet.[austinmassageclinic.com]
  • The buildup of lactic acid causes a painful burning sensation.[nynjcmd.com]
Amnesia
  • Sensory-Motor Amnesia - This is a phenomenon whereby we lose sensory-motor control of our muscles allowing them to remain chronically contracted. Chronic muscular contraction is one of the chief causes of low back pain.[lower-back-pain-answers.com]

Workup

  • If red flags are absent a diagnostic workup is generally not necessary.[austinmassageclinic.com]
  • For example, obtaining a full clinical history, asking certain questions associated with an inflammatory cause of lower back pain, examining the back for signs of deformities, performing neurologic workups and potentially ordering imaging tests if deemed[sciencedaily.com]

Treatment

  • Treatment The treatment of lower back pain involves pain relief and gentle movements of the back. Simple pain-relief, such as paracetamol and ibuprofen are often helpful in reducing back pain.[ada.com]
  • Early diagnosis and treatment could save you from a lifetime of pain and immobility.[pelvipro.com]
  • Patient education, return to normal activity, and self-care temperature treatments (ice, heat) are the first steps in therapy. Oral pharmacotherapy (nonsteroidal anti-inflammatory drugs, acetaminophen, and muscle relaxants) is used for pain control.[online.epocrates.com]
  • Questions may include: The location of your pain Intensity of your pain Quality of your pain Your medical history including any previous treatments or studies you’ve participated in and how you’ve responded to the treatment(s).[pennmedicine.org]
  • Anterior cord syndrome , apical nerve block , Brown Sequard , Central cord , chin , coarctation of the aorta , complete loss of motor , contralateral loss of pain , Ductal dependent cardiac lesions , ductus arteriosus , extension injury , first line treatment[roshreview.com]

Prognosis

  • […] occur more frequently in the younger patient. 6,7 Collectively, the male-to-female ratio is 2 to 3:1 9,10 and the median survival rate in the United States is approximately 7 years with an overall survival of 68% at 5 years and 40% at 10 years. 6,7 The prognosis[ncbi.nlm.nih.gov]
  • Prognosis of non-specific musculoskeletal pain in preadolescents: A prospective 4-year follow-up study till adolescence. Pain. 2004;110(3):550-9 Feldman DE, Shrier I, Rossignol M, Abenhaim L.[chiro.org]
  • Recent literature has suggested that patients’ social characteristics and environments (such as socio-economic status, low job security, social support, family conflict, compensation system) may influence the occurrence and prognosis of LBP ( 19 , 20[academic.oup.com]

Etiology

  • The differential diagnosis of LBP in this population is broad, and individual etiologic factors are most often associated with musculoskeletal overuse or trauma. Sinister etiologic factors are rare.[ncbi.nlm.nih.gov]
  • Clinicians should have an understanding of the relevant anatomy and the most commonly encountered etiologic factors of LBP in children and adolescents to provide effective care. Observations Low back pain is rarely seen in… CONTINUE READING[semanticscholar.org]
  • "It is important for physicians to have a firm understanding of the relevant spinal anatomy and the etiological factors of low back pain in children and adolescents."[sciencedaily.com]
  • A second category of non-traumatic back pain includes non-spine causes such as those with renal, abdominal or thoracic etiologies.[blog.thesullivangroup.com]

Epidemiology

  • A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. Int J Epidemiol. 2002;31(2):285-93 Kuh D, Ben-Shlomo Y, Lynch J, Hallqvist J, Power C. Life course epidemiology.[chiro.org]
  • "Epidemiology-" in MJ, MN 5. "Rehabilitation-" in MJ, MN 6. #1 and #2 7. #1 and ("Epidemiology-" in MJ, MN) 8. #5 and #2 9. ("Rehabilitation-" in MJ, MN) and #1 CiNAHL and ScienceDirect 1.[bmcmusculoskeletdisord.biomedcentral.com]
  • Prevention The accumulated knowledge based on epidemiological studies on the risk factors is largely qualitative and thus can give only broad guidelines for the planning of preventive programmes.[iloencyclopaedia.org]
  • American journal of epidemiology. 2008;167(9):1110-9. McBeth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best practice & research Clinical rheumatology. 2007;21(3):403-25. Schneider S, Randoll D, Buchner M.[revistacmfr.org]
  • Back pain prevalence and associated factors in children and adolescents: an epidemiological population study. Rev Saude Publica. 2016;50:31. [ Links ] 28 Silva AP, Khalil S, Marta HR, Oscar CP.[scielo.br]
Sex distribution
Age distribution

Pathophysiology

  • Diagnosis, pathophysiological findings, evaluation, treatment and prevention are outlined in a recent review of the literature published online today by the Journal of the American Medical Association Pediatrics (JAMA Pediatrics) .[sciencedaily.com]
  • This is congruent also with pathophysiological hypotheses and findings related to multisite pain ( 23 ).[academic.oup.com]

Prevention

  • Prevention Correct lifting techniques, regular exercise, stretching before sport and maintaining a healthy weight can all help to prevent episodes of lower back pain.[ada.com]
  • Once the cause is identified, lower back pain is easily prevented and treated. Penn Medicine offers an online assessment test to help you learn when it is time to see a doctor for your back pain.[pennmedicine.org]
  • Source : NHS Choices, UK (Preventing back pain)[healthdirect.gov.au]
  • However, knowing that most people recover well from initial back pain within 4 to 6 weeks can prevent undue worry and stress.[wwdpi.org]

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