Back pain history and symptoms: Difference between revisions
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**Increased [[back]] [[pain]] in [[patients]] with [[osteoporosis]] or [[multiple myeloma]] | **Increased [[back]] [[pain]] in [[patients]] with [[osteoporosis]] or [[multiple myeloma]] | ||
Other studies suggest that for as many as 85% of cases, no physiological cause for the pain has been able to be specifically identified.<ref>{{cite journal |author=White AA, Gordon SL |title=Synopsis: workshop on idiopathic low-back pain |journal=Spine |volume=7 |issue=2 |pages=141-9 |year=1982 |pmid=6211779 |doi=}}</ref><ref>{{cite journal |author=van den Bosch MA, Hollingworth W, Kinmonth AL, Dixon AK |title=Evidence against the use of lumbar spine radiography for low back pain |journal=Clinical radiology |volume=59 |issue=1 |pages=69-76 |year=2004 |pmid=14697378 |doi=}}</ref> | |||
A few studies suggest that psychosocial factors such as on-the-job stress and dysfunctional family relationships may correlate more closely with back pain than structural abnormalities revealed in x-rays and other medical imaging scans.<ref>{{cite journal |author=Burton AK, Tillotson KM, Main CJ, Hollis S |title=Psychosocial predictors of outcome in acute and subchronic low back trouble |journal=Spine |volume=20 |issue=6 |pages=722-8 |year=1995 |pmid=7604349 |doi=}}</ref><ref>{{cite journal |author=Carragee EJ, Alamin TF, Miller JL, Carragee JM |title=Discographic, MRI and psychosocial determinants of low back pain disability and remission: a prospective study in subjects with benign persistent back pain |journal=The spine journal : official journal of the North American Spine Society |volume=5 |issue=1 |pages=24-35 |year=2005 |pmid=15653082 |doi=10.1016/j.spinee.2004.05.250}}</ref><ref>{{cite journal |author=Hurwitz EL, Morgenstern H, Yu F |title=Cross-sectional and longitudinal associations of low-back pain and related disability with psychological distress among patients enrolled in the UCLA Low-Back Pain Study |journal=Journal of clinical epidemiology |volume=56 |issue=5 |pages=463-71 |year=2003 |pmid=12812821 |doi=}}</ref><ref>{{cite journal |author=Dionne CE |title=Psychological distress confirmed as predictor of long-term back-related functional limitations in primary care settings |journal=Journal of clinical epidemiology |volume=58 |issue=7 |pages=714-8 |year=2005 |pmid=15939223 |doi=10.1016/j.jclinepi.2004.12.005}}</ref> | A few studies suggest that psychosocial factors such as on-the-job stress and dysfunctional family relationships may correlate more closely with back pain than structural abnormalities revealed in x-rays and other medical imaging scans.<ref>{{cite journal |author=Burton AK, Tillotson KM, Main CJ, Hollis S |title=Psychosocial predictors of outcome in acute and subchronic low back trouble |journal=Spine |volume=20 |issue=6 |pages=722-8 |year=1995 |pmid=7604349 |doi=}}</ref><ref>{{cite journal |author=Carragee EJ, Alamin TF, Miller JL, Carragee JM |title=Discographic, MRI and psychosocial determinants of low back pain disability and remission: a prospective study in subjects with benign persistent back pain |journal=The spine journal : official journal of the North American Spine Society |volume=5 |issue=1 |pages=24-35 |year=2005 |pmid=15653082 |doi=10.1016/j.spinee.2004.05.250}}</ref><ref>{{cite journal |author=Hurwitz EL, Morgenstern H, Yu F |title=Cross-sectional and longitudinal associations of low-back pain and related disability with psychological distress among patients enrolled in the UCLA Low-Back Pain Study |journal=Journal of clinical epidemiology |volume=56 |issue=5 |pages=463-71 |year=2003 |pmid=12812821 |doi=}}</ref><ref>{{cite journal |author=Dionne CE |title=Psychological distress confirmed as predictor of long-term back-related functional limitations in primary care settings |journal=Journal of clinical epidemiology |volume=58 |issue=7 |pages=714-8 |year=2005 |pmid=15939223 |doi=10.1016/j.jclinepi.2004.12.005}}</ref> | ||
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Back pain history and symptoms On the Web |
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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
History
- In general, back pain does not usually require immediate medical intervention.
- Mostly cases due to inflammation, especially in the acute phase, which typically lasts for two weeks to three months and resolves on its own without progressing.
- In few cases back pain can be a symptom of a serious medical condition. Symptoms to look for include:
- bowel incontinence
- bladder incontinence
- Progressive weakness in legs
- Sleep interrupted due to severe back pain
- Fever
- Unexplained weight loss
- Back pain due to trauma
- Increased back pain in patients with osteoporosis or multiple myeloma
Other studies suggest that for as many as 85% of cases, no physiological cause for the pain has been able to be specifically identified.[1][2]
A few studies suggest that psychosocial factors such as on-the-job stress and dysfunctional family relationships may correlate more closely with back pain than structural abnormalities revealed in x-rays and other medical imaging scans.[3][4][5][6]
Symptoms
It is important to understand that back pain is a symptom of a medical condition, not a diagnosis itself. Back pain may occur by itself, or along with other symptoms. Symptoms include severe low back pain that may be accompanied by muscle spasm, pain with walking, concentration of pain to one side, and no radiculopathy (radiating pain down buttock and leg). Relief should be felt with flexion (bending forward),and exacerbated with extension (bending backward). Transient back pain is likely one of the first symptoms of influenza. Back pain is categorized into acute pain and chronic pain. Pain that hits you suddenly—after falling from a ladder, being tackled on the football field, or lifting a load that is too heavy, for example—is acute pain. Acute pain comes on quickly and often leaves just as quickly. To be classified as acute, pain should last no longer than 6 weeks. Acute pain is the most common type of back pain. Chronic pain, on the other hand, may come on either quickly or slowly, and it lingers a long time. In general, pain that lasts longer than 3 months is considered chronic. Chronic pain is much less common than acute pain.
References
- ↑ White AA, Gordon SL (1982). "Synopsis: workshop on idiopathic low-back pain". Spine. 7 (2): 141–9. PMID 6211779.
- ↑ van den Bosch MA, Hollingworth W, Kinmonth AL, Dixon AK (2004). "Evidence against the use of lumbar spine radiography for low back pain". Clinical radiology. 59 (1): 69–76. PMID 14697378.
- ↑ Burton AK, Tillotson KM, Main CJ, Hollis S (1995). "Psychosocial predictors of outcome in acute and subchronic low back trouble". Spine. 20 (6): 722–8. PMID 7604349.
- ↑ Carragee EJ, Alamin TF, Miller JL, Carragee JM (2005). "Discographic, MRI and psychosocial determinants of low back pain disability and remission: a prospective study in subjects with benign persistent back pain". The spine journal : official journal of the North American Spine Society. 5 (1): 24–35. doi:10.1016/j.spinee.2004.05.250. PMID 15653082.
- ↑ Hurwitz EL, Morgenstern H, Yu F (2003). "Cross-sectional and longitudinal associations of low-back pain and related disability with psychological distress among patients enrolled in the UCLA Low-Back Pain Study". Journal of clinical epidemiology. 56 (5): 463–71. PMID 12812821.
- ↑ Dionne CE (2005). "Psychological distress confirmed as predictor of long-term back-related functional limitations in primary care settings". Journal of clinical epidemiology. 58 (7): 714–8. doi:10.1016/j.jclinepi.2004.12.005. PMID 15939223.