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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
YJBM
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8961709/ https://www.ncbi.nlm.nih.gov/pubmed/35370485 |
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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 |
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