Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment.

Humans Low Back Pain / diagnosis
Axial low back pain Low back pain Lumbosacral pain Radiculopathy Referred low back pain

Journal

Current pain and headache reports
ISSN: 1534-3081
Titre abrégé: Curr Pain Headache Rep
Pays: United States
ID NLM: 100970666

Informations de publication

Date de publication:
11 Mar 2019
Historique:
entrez: 12 3 2019
pubmed: 12 3 2019
medline: 18 6 2019
Statut: epublish

Résumé

Low back pain encompasses three distinct sources: axial lumbosacral, radicular, and referred pain. Annually, the prevalence of low back pain in the general US adult population is 10-30%, and the lifetime prevalence of US adults is as high as 65-80%. Patient history, physical exam, and diagnostic testing are important components to accurate diagnosis and identification of patient pathophysiology. Etiologies of low back pain include myofascial pain, facet joint pain, sacroiliac joint pain, discogenic pain, spinal stenosis, and failed back surgery. In chronic back pain patients, a multidisciplinary, logical approach to treatment is most effective and can include multimodal medical, psychological, physical, and interventional approaches. Low back pain is a difficult condition to effectively treat and continues to affect millions of Americans every year. In the current investigation, we present a comprehensive review of low back pain and discuss associated pathophysiology, diagnosis, and treatment.

Identifiants

DOI: 10.1007/s11916-019-0757-1 PMID: 30854609
pubmed: 30854609
doi: 10.1007/s11916-019-0757-1
pii: 10.1007/s11916-019-0757-1
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

23

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Auteurs

Ivan Urits (I)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA. iurits@bidmc.harvard.edu.

Aaron Burshtein (A)

Department of Orthopedic Surgery, Hofstra-Northwell Health System, Great Neck, NY, 11021, USA.

Medha Sharma (M)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.

Lauren Testa (L)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.

Peter A Gold (PA)

Department of Orthopedic Surgery, Hofstra-Northwell Health System, Great Neck, NY, 11021, USA.

Vwaire Orhurhu (V)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.

Omar Viswanath (O)

Valley Anesthesiology and Pain Consultants, Phoenix, AZ, USA.
Department of Anesthesiology, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA.

Mark R Jones (MR)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.

Moises A Sidransky (MA)

Department of Anesthesiology, University of Arizona College of Medicine-Phoenix, Tyler, TX, USA.

Boris Spektor (B)

Department of Anesthesiology, Emory School of Medicine, Atlanta, GA, 30308, USA.

Alan D Kaye (AD)

Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans, LA, 70112, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Low Back Pain, a Comprehensive Review:...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Dorsalgie › Lombalgie › Low Back Pain, a Comprehensive Review:...