Low back pain- myths and facts

Handa, Rohini

doi:10.1016/j.jcot.2019.05.024

Cited by 7 publications

(7 citation statements)

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“…Back pain can be classified according to duration into acute (less than one month), subacute (from one to three months), and chronic (more than 3 months or if pain occurs episodically within a six-months period) (2) . Chronicity of back pain is a typical feature of IBP.…”

Section: Duration Of Symptomsmentioning

confidence: 99%

“…A staggering 75% of people will suffer from back discomfort at some point in their lives. Back pain can be classified according to the cause into mechanical (90%) and systemic causes (10%) that includes rheumatological causes (axial spondyloarthritis (AxSpA), neoplastic diseases, metabolic diseases and referred pain (2) . Mechanical back pain refers to discomfort felt in the spine, discs, or surrounding soft tissues as a result of conditions such as disc herniation, lumbosacral muscular strain, lumbar spondylosis, spondylolisthesis, acute or chronic traumatic damage, vertebral compression fractures, as well as spondylolysis (3) .…”

Section: Introductionmentioning

confidence: 99%

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Overlap of Pain Character in Patients with Inflammatory Back Pain versus Chronic Mechanical Back Pain: Review Article

Elshahawy¹,

Mortada²,

Elnaggar³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Back pain (BP) is a common musculoskeletal symptom that affects a large percentage of the population. Back pain can be classified according to the cause into mechanical and inflammatory. Inflammatory back pain (IBP) has some distinguishing characters that help in differentiation of it from mechanical back pain. Back pain in axial spondyloarthritis is usually of inflammatory type. There are a number of sets of criteria that have been devised to define IBP. These include the assessment of spondyloarthritis international society (ASAS) IBP experts' criteria, Berlin criteria, as well as Calin criteria. Objective: Assessment of overlap of pain character in patients with inflammatory back pain versus chronic mechanical back pain. Methods: Pain, Inflammatory Back Pain, and Chronic Mechanical Back Pain were all looked for in PubMed, Google scholar, and Science direct. References from relevant literature were also evaluated by the authors, but only the most recent or complete study from February 2006 to June 2022 was included. Due to the lack of sources for translation, documents in languages other than English have been ruled out. Papers that did not fall under the purview of major scientific investigations, such as unpublished manuscripts, oral presentations, conference abstracts, and dissertations, were omitted. Conclusion:There is a great overlap in character of back pain between patients with chronic mechanical back pain and those with axial spondyloarthritis.

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Section: Duration Of Symptomsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Overlap of Pain Character in Patients with Inflammatory Back Pain versus Chronic Mechanical Back Pain: Review Article

Elshahawy¹,

Mortada²,

Elnaggar³

et al. 2022

The Egyptian Journal of Hospital Medicine

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show abstract

“…15 Pathologies such as herniated discs occur frequently in the adult and elderly population, and are considered a multifactorial syndrome, impacting the life of the individual, and can keep him/her away from active socio-labor activities, as demonstrated in a study conducted in India. 16 The osteomuscular alterations that most affect the elderly population may be related to the workload accumulated over the years, stress, repetitive movements, and the daily positions adopted, assuming an inadequate posture and favoring pain, especially in the lumbar spine. 17 The functional capacity to perform the activities of daily living has been considered an indicator of health in the elderly population.…”

Section: Category I -Functional Limitations Of Adults and Elderly With Disc Herniationmentioning

confidence: 99%

Scientific evidence on disk hernia in elderly person / Evidências científicas sobre hérnia de disco na pessoa idosa

Montenegro

Veloso

Miguel

et al. 2021

RPCF

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Objetivo: identificar as produções científicas sobre hérnia de disco na pessoa idosa. Método: protocolo de scoping review segundo o método do Joanna Briggs Institute com artigos das bases de dados CINAHL, Scopus, Cochrane, Web of Science, MEDLINE e ScienceDirect. Analisaram-se 10 artigos cujos critérios de inclusão foram investigações primárias e/ou secundárias, qualitativas e quantitativas escritos em inglês, português e espanhol, formando 3 categorias temáticas. O recorte do estudo foi delimitado a partir da observação na prática profissional dos pesquisadores sobre o aumento de casos de idosos com hérnia de disco. Resultados: a cirurgia representa constante indicação médica para o tratamento da hérnia de disco. Conclusão: a lombalgia decorrente da hérnia de disco é uma frequente causa de incapacidade nos adultos e idosos com protocolos cirúrgicos constantes, principalmente quando há compressão neural. No entanto, estudos mostram a possibilidade de regressão quando os pacientes são submetidos aos tratamentos conservadores.

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“…The occurrence and development of LBP are observed in multiple clinical conditions, such as degenerative diseases, neoplasm, rheumatism, trauma, infection, etc. Various anatomical structures in the lower back, including intervertebral discs (IVDs), facet joints, muscles, tendons and ligaments, are all involved in the pathogenesis of LBP 2 . Among the multiple factors above, intervertebral disc (IVD) degeneration (IVDD) is recognized as one of the leading causes of LBP 3 .…”

Section: Introductionmentioning

confidence: 99%

The role of structure and function changes of sensory nervous system in intervertebral disc-related low back pain

Zhang

Liu

et al. 2021

Osteoarthritis and Cartilage

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Low back pain (LBP) is a common musculoskeletal symptom, which can be developed in multiple clinical diseases. It is widely recognized that intervertebral disc (IVD) degeneration (IVDD) is one of the leading causes of LBP. However, the pathogenesis of IVD-related LBP is still controversial, and the treatment means are also insufficient to date. In recent decades, the role of structure and function changes of sensory nervous system in the induction and the maintenance of LBP is drawing more and more attention. With the progress of IVDD, IVD cell exhaustion and extracellular matrix degradation result in IVD structural damage, while neovascularization, innervation and inflammatory activation further deteriorate the microenvironment of IVD. New nerve ingrowth into degenerated IVD amplifies the impacts of IVD-derived nociceptive molecules on sensory endings. Moreover, IVDD is usually accompanied with disc herniation, which could injure and inflame affected nerves. Under mechanical and pro-inflammatory stimulation, the pain-transmitting pathway exhibits a sensitized function state and ultimately leads to LBP. Hence, relevant pathogenic factors, such as neurotrophins, ion channels, inflammatory factors, etc., are supposed to serve as promising therapeutic targets for LBP. The purpose of this review is to comprehensively summarize the current evidence on 1) the pathological changes of sensory nervous system during IVDD and their association with LBP, and 2) potential therapeutic strategies for LBP targeting relevant pathogenic factors.

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Low back pain- myths and facts

Cited by 7 publications

References 0 publications

Overlap of Pain Character in Patients with Inflammatory Back Pain versus Chronic Mechanical Back Pain: Review Article

Overlap of Pain Character in Patients with Inflammatory Back Pain versus Chronic Mechanical Back Pain: Review Article

Scientific evidence on disk hernia in elderly person / Evidências científicas sobre hérnia de disco na pessoa idosa

The role of structure and function changes of sensory nervous system in intervertebral disc-related low back pain

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