Back pain natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Overview
Natural history, complications and prognosis largely depend on the underlying cause of back pain. Back pain progresses and presents varialbly depending on the pathology. Back pain of any origin can lead to deformity, disability, depression, weight gain, social isolation, decreased quality of life, and sleep disturbances. Prognosis varies according to the underlying etiology, most patients will recover with within weeks. Recurrent and chronic cases are more resistant to treatment.
Natural history, Complications and Prognosis
Natural History
Back pain progresses and presents varialbly depending on the pathology.
Complications
Back pain of any origin can lead to the following complications:[1]
- Deformity
- Long term disabiliy
- Depression
- Weight gain
- Social distancing
- Decreased quality of life
- Sleep disturbances
Prognosis
- Prognosis varies according to the underlying etiology.
- Most patients will recover with within weeks.[2]
- Recurrent and chronic cases are more resistant to treatment.[2]
- Back pain due to oncologic cause depend upon the prognosis of the type of cancer.[3]
- Prognosis is worst if back pain is recurrent, increases in intensity, associated with leg pain or widespread symptoms.
References
- ↑ GBD 2015 Disease and Injury Incidence and Prevalence Collaborators (2016). "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet. 388 (10053): 1545–1602. doi:10.1016/S0140-6736(16)31678-6. PMC 5055577. PMID 27733282.
- ↑ 2.0 2.1 Hayden JA, Dunn KM, van der Windt DA, Shaw WS (2010). "What is the prognosis of back pain?". Best Pract Res Clin Rheumatol. 24 (2): 167–79. doi:10.1016/j.berh.2009.12.005. PMID 20227639.
- ↑ da C Menezes Costa L, Maher CG, Hancock MJ, McAuley JH, Herbert RD, Costa LO (2012). "The prognosis of acute and persistent low-back pain: a meta-analysis". CMAJ. 184 (11): E613–24. doi:10.1503/cmaj.111271. PMC 3414626. PMID 22586331.