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Lumbar spondylosis: clinical presentation and treatment approaches

Low back pain (LBP) affects approximately 60–85% of adults during some point in their lives. Fortunately, for the large majority of individuals, symptoms are mild and transient, with 90% subsiding within 6 weeks. Chronic low back pain, defined as pain symptoms persisting beyond 3 months, affects an...

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Detalles Bibliográficos
Autores principales: Middleton, Kimberley, Fish, David E.
Formato: Texto
Lenguaje:English
Publicado: Humana Press Inc 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697338/
https://www.ncbi.nlm.nih.gov/pubmed/19468872
http://dx.doi.org/10.1007/s12178-009-9051-x
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author Middleton, Kimberley
Fish, David E.
author_facet Middleton, Kimberley
Fish, David E.
author_sort Middleton, Kimberley
collection PubMed
description Low back pain (LBP) affects approximately 60–85% of adults during some point in their lives. Fortunately, for the large majority of individuals, symptoms are mild and transient, with 90% subsiding within 6 weeks. Chronic low back pain, defined as pain symptoms persisting beyond 3 months, affects an estimated 15–45% of the population. For the minority with intractable symptoms, the impact on quality of life and economic implications are considerable. Despite the high prevalence of low back pain within the general population, the diagnostic approach and therapeutic options are diverse and often inconsistent, resulting in rising costs and variability in management throughout the country. In part, this is due to the difficulty establishing a clear etiology for most patients, with known nociceptive pain generators identified throughout the axial spine. Back pain has been termed as “an illness in search of a disease.” Indeed, once “red flag” diagnoses such as cancer and fracture have been ruled out, the differential sources of low back pain remain broad, including the extensive realm of degenerative changes within the axial spine for which radiological evaluation is nonspecific and causal relationships are tentative. We will elaborate on these degenerative processes and their clinical implications. We will further discuss diagnostic approaches and the efficacy of existing treatment options.
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spelling pubmed-26973382009-06-17 Lumbar spondylosis: clinical presentation and treatment approaches Middleton, Kimberley Fish, David E. Curr Rev Musculoskelet Med Article Low back pain (LBP) affects approximately 60–85% of adults during some point in their lives. Fortunately, for the large majority of individuals, symptoms are mild and transient, with 90% subsiding within 6 weeks. Chronic low back pain, defined as pain symptoms persisting beyond 3 months, affects an estimated 15–45% of the population. For the minority with intractable symptoms, the impact on quality of life and economic implications are considerable. Despite the high prevalence of low back pain within the general population, the diagnostic approach and therapeutic options are diverse and often inconsistent, resulting in rising costs and variability in management throughout the country. In part, this is due to the difficulty establishing a clear etiology for most patients, with known nociceptive pain generators identified throughout the axial spine. Back pain has been termed as “an illness in search of a disease.” Indeed, once “red flag” diagnoses such as cancer and fracture have been ruled out, the differential sources of low back pain remain broad, including the extensive realm of degenerative changes within the axial spine for which radiological evaluation is nonspecific and causal relationships are tentative. We will elaborate on these degenerative processes and their clinical implications. We will further discuss diagnostic approaches and the efficacy of existing treatment options. Humana Press Inc 2009-03-25 /pmc/articles/PMC2697338/ /pubmed/19468872 http://dx.doi.org/10.1007/s12178-009-9051-x Text en © The Author(s) 2009 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Article
Middleton, Kimberley
Fish, David E.
Lumbar spondylosis: clinical presentation and treatment approaches
title Lumbar spondylosis: clinical presentation and treatment approaches
title_full Lumbar spondylosis: clinical presentation and treatment approaches
title_fullStr Lumbar spondylosis: clinical presentation and treatment approaches
title_full_unstemmed Lumbar spondylosis: clinical presentation and treatment approaches
title_short Lumbar spondylosis: clinical presentation and treatment approaches
title_sort lumbar spondylosis: clinical presentation and treatment approaches
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697338/
https://www.ncbi.nlm.nih.gov/pubmed/19468872
http://dx.doi.org/10.1007/s12178-009-9051-x
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