Cargando…

What are the Origins of Chronic Back Pain of “Obscure Origins”? Turning Toward Family and Workplace Social Contexts

Chronic back pain (CBP) is a common symptom throughout the world, and those undergoing it often experience a profound degradation of life. Despite extensive research, it remains an elusive symptom. In most cases, CBP is “non-specific,” since bio-mechanisms examined in the clinic do not account for i...

Descripción completa

Detalles Bibliográficos
Autores principales: Volinn, Ernest, Loeser, John D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: YJBM 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8961709/
https://www.ncbi.nlm.nih.gov/pubmed/35370485
_version_ 1784677656083562496
author Volinn, Ernest
Loeser, John D.
author_facet Volinn, Ernest
Loeser, John D.
author_sort Volinn, Ernest
collection PubMed
description Chronic back pain (CBP) is a common symptom throughout the world, and those undergoing it often experience a profound degradation of life. Despite extensive research, it remains an elusive symptom. In most cases, CBP is “non-specific,” since bio-mechanisms examined in the clinic do not account for it; another way of saying this is that it is “of obscure origins.” This paper re-directs attention towards origins that are distal and usually out of sight from the vantage point of the clinic. CBP as considered here is non-specific, persists ≥ 3 months, and, additionally, interferes with activities of daily life, such as family interaction or work. A theory proposed in the paper draws upon Durkheim’s Suicide to explain why exposures in the distal social contexts of family and workplace are fundamentally implicated in CBP. The theory is formed out of previously published studies on family and workplace social contexts of CBP and, in effect, provides a theoretical framework with which to review them. After treatment of CBP in the clinic, patients return to family and workplace contexts. Unless exposures in these contexts are addressed, they serve as continually renewing sources of CBP that remain unabated regardless of mechanism-based treatment in the clinic.
format Online
Article
Text
id pubmed-8961709
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher YJBM
record_format MEDLINE/PubMed
spelling pubmed-89617092022-03-31 What are the Origins of Chronic Back Pain of “Obscure Origins”? Turning Toward Family and Workplace Social Contexts Volinn, Ernest Loeser, John D. Yale J Biol Med Review Chronic back pain (CBP) is a common symptom throughout the world, and those undergoing it often experience a profound degradation of life. Despite extensive research, it remains an elusive symptom. In most cases, CBP is “non-specific,” since bio-mechanisms examined in the clinic do not account for it; another way of saying this is that it is “of obscure origins.” This paper re-directs attention towards origins that are distal and usually out of sight from the vantage point of the clinic. CBP as considered here is non-specific, persists ≥ 3 months, and, additionally, interferes with activities of daily life, such as family interaction or work. A theory proposed in the paper draws upon Durkheim’s Suicide to explain why exposures in the distal social contexts of family and workplace are fundamentally implicated in CBP. The theory is formed out of previously published studies on family and workplace social contexts of CBP and, in effect, provides a theoretical framework with which to review them. After treatment of CBP in the clinic, patients return to family and workplace contexts. Unless exposures in these contexts are addressed, they serve as continually renewing sources of CBP that remain unabated regardless of mechanism-based treatment in the clinic. YJBM 2022-03-31 /pmc/articles/PMC8961709/ /pubmed/35370485 Text en Copyright ©2022, Yale Journal of Biology and Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons CC BY-NC license, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. You may not use the material for commercial purposes.
spellingShingle Review
Volinn, Ernest
Loeser, John D.
What are the Origins of Chronic Back Pain of “Obscure Origins”? Turning Toward Family and Workplace Social Contexts
title What are the Origins of Chronic Back Pain of “Obscure Origins”? Turning Toward Family and Workplace Social Contexts
title_full What are the Origins of Chronic Back Pain of “Obscure Origins”? Turning Toward Family and Workplace Social Contexts
title_fullStr What are the Origins of Chronic Back Pain of “Obscure Origins”? Turning Toward Family and Workplace Social Contexts
title_full_unstemmed What are the Origins of Chronic Back Pain of “Obscure Origins”? Turning Toward Family and Workplace Social Contexts
title_short What are the Origins of Chronic Back Pain of “Obscure Origins”? Turning Toward Family and Workplace Social Contexts
title_sort what are the origins of chronic back pain of “obscure origins”? turning toward family and workplace social contexts
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8961709/
https://www.ncbi.nlm.nih.gov/pubmed/35370485
work_keys_str_mv AT volinnernest whataretheoriginsofchronicbackpainofobscureoriginsturningtowardfamilyandworkplacesocialcontexts
AT loeserjohnd whataretheoriginsofchronicbackpainofobscureoriginsturningtowardfamilyandworkplacesocialcontexts