Back pain natural history, complications and prognosis: Difference between revisions

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==Overview==
==Overview==
Natural history, [[complications]] and [[prognosis]] largely depend on the underlying [[cause]] of [[back]] [[pain]].
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, Complications and Prognosis==
===Natural History===
[[Back]] [[pain]] progresses and presents varialbly depending on the [[pathology]].


===Complications===
===Complications===
*[[Complications]] of [[back]] [[pain]] varies according to the underlying [[etiology]].  
[[Back]] [[pain]] of any origin can lead to the following [[complications]]:<ref name="pmid27733282">{{cite journal| author=GBD 2015 Disease and Injury Incidence and Prevalence Collaborators| title=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. | journal=Lancet | year= 2016 | volume= 388 | issue= 10053 | pages= 1545-1602 | pmid=27733282 | doi=10.1016/S0140-6736(16)31678-6 | pmc=5055577 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27733282  }} </ref>
*[[Back]] [[pain]] of any origin can lead to long term [[deformity]], [[disabiliy]], [[depression]], social distancing, decreased [[quality of life]].
*[[Deformity]]
*[[Disease]] specific [[complications]] are the following:
*Long term [[disabiliy]]
**
*[[Depression]]
*[[Weight]] gain
*Social distancing
*Decreased [[quality of life]]
*[[Sleep]] disturbances


===Prognosis===
===Prognosis===
Most patients with back pain recover without residual functional loss, but individuals should contact a doctor if there is not a noticeable reduction in [[pain]] and [[inflammation]] after 72 hours of self-careRecurring back pain resulting from improper body mechanics or other nontraumatic causes is often preventable. Engaging in exercises that don't jolt or strain the back, maintaining correct posture, and lifting objects properly can help prevent injuries. Many work-related injuries are caused or aggravated by stressors such as heavy lifting, vibration, repetitive motion, and awkward posture. Applying ergonomic principles — designing furniture and tools to protect the body from injury — at home and in the workplace can greatly reduce the risk of back injury and help maintain a healthy back.
*[[Prognosis]] varies according to the underlying [[etiology]].
*Most [[patients]] will [[recover]] with within weeks.<ref name="pmid20227639">{{cite journal| author=Hayden JA, Dunn KM, van der Windt DA, Shaw WS| title=What is the prognosis of back pain? | journal=Best Pract Res Clin Rheumatol | year= 2010 | volume= 24 | issue= 2 | pages= 167-79 | pmid=20227639 | doi=10.1016/j.berh.2009.12.005 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20227639  }} </ref>
*Recurrent and [[chronic]] cases are more [[resistant]] to [[treatment]].<ref name="pmid20227639">{{cite journal| author=Hayden JA, Dunn KM, van der Windt DA, Shaw WS| title=What is the prognosis of back pain? | journal=Best Pract Res Clin Rheumatol | year= 2010 | volume= 24 | issue= 2 | pages= 167-79 | pmid=20227639 | doi=10.1016/j.berh.2009.12.005 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20227639 }} </ref>
*[[Back]] [[pain]] due to [[oncologic]] [[cause]] depend upon the [[prognosis]] of the type of [[cancer]].<ref name="pmid22586331">{{cite journal| author=da C Menezes Costa L, Maher CG, Hancock MJ, McAuley JH, Herbert RD, Costa LO| title=The prognosis of acute and persistent low-back pain: a meta-analysis. | journal=CMAJ | year= 2012 | volume= 184 | issue= 11 | pages= E613-24 | pmid=22586331 | doi=10.1503/cmaj.111271 | pmc=3414626 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22586331  }} </ref>
*[[Prognosis]] is worst if [[back]] [[pain]] is recurrent, increases in intensity, associated with [[leg]] [[pain]] or widespread [[symptoms]].


==References==
==References==

Latest revision as of 01:39, 8 June 2021

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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]

Prognosis

References

  1. 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. 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.
  3. 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.

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