Low back pain: Difference between revisions
From WikiMD's Wellness Encyclopedia
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{{Infobox medical condition | |||
| name = Low back pain | |||
| image = [[File:Lumbar_region_in_human_skeleton.svg|250px]] | |||
| caption = Location of the [[lumbar region]] in the [[human skeleton]] | |||
| field = [[Orthopedics]], [[Rheumatology]], [[Physical medicine and rehabilitation]] | |||
| synonyms = Lumbago | |||
| symptoms = [[Muscle pain]], [[stiffness]], [[numbness]] | |||
| complications = [[Chronic pain]], [[sciatica]], [[depression (mood)|depression]] | |||
| onset = Sudden or gradual | |||
| duration = Days to weeks (acute), more than 12 weeks (chronic) | |||
| causes = [[Muscle strain]], [[herniated disc]], [[degenerative disc disease]], [[spinal stenosis]] | |||
| risks = [[Obesity]], [[sedentary lifestyle]], [[smoking]], [[occupational hazards]] | |||
| diagnosis = [[Physical examination]], [[medical imaging]] | |||
| differential = [[Kidney stones]], [[abdominal aortic aneurysm]], [[pancreatitis]] | |||
| treatment = [[Pain management]], [[physical therapy]], [[exercise]], [[surgery]] | |||
| medication = [[NSAIDs]], [[muscle relaxants]], [[opioids]] | |||
| frequency = Affects about 80% of people at some point in their lives | |||
| deaths = Rarely directly fatal | |||
}} | |||
[[File:Lagehernia.png|thumb|Lagehernia]] | |||
[[File:Illu vertebral column.svg|left|thumb|Vertebral column illustration]] | |||
[[File:ACDF oblique annotated english.svg|left|thumb|ACDF oblique annotated]] | |||
[[File:Straight-leg-test.gif|thumb|Straight-leg test]] | |||
[[File:L4-l5-disc-herniation.png|thumb|L4-L5 disc herniation]] | |||
[[File:Harvey Cushing, Doris Ulmann 1920s.jpg|left|thumb|Harvey Cushing, Doris Ulmann 1920s]] | |||
Low Back Pain (LBP), also known as lumbago, is a prevalent health issue affecting the muscles, nerves, and bones of the back. This condition can manifest in various ways, from a dull, continuous ache to a sudden, sharp sensation. | Low Back Pain (LBP), also known as lumbago, is a prevalent health issue affecting the muscles, nerves, and bones of the back. This condition can manifest in various ways, from a dull, continuous ache to a sudden, sharp sensation. | ||
== Classification == | == Classification == | ||
LBP is typically categorized based on the duration and underlying cause of the pain. | LBP is typically categorized based on the duration and underlying cause of the pain. | ||
=== By Duration === | === By Duration === | ||
* '''Acute LBP''': This type lasts less than six weeks. It is often due to strain or minor injury. | * '''Acute LBP''': This type lasts less than six weeks. It is often due to strain or minor injury. | ||
* '''Sub-chronic LBP''': This type persists for six to twelve weeks. It can be a continuation of acute LBP or a new issue. | * '''Sub-chronic LBP''': This type persists for six to twelve weeks. It can be a continuation of acute LBP or a new issue. | ||
* '''Chronic LBP''': This type lasts more than twelve weeks and may be due to ongoing conditions such as [[arthritis]], [[spinal stenosis]], or [[degenerative disc disease]]. | * '''Chronic LBP''': This type lasts more than twelve weeks and may be due to ongoing conditions such as [[arthritis]], [[spinal stenosis]], or [[degenerative disc disease]]. | ||
=== By Cause === | === By Cause === | ||
* '''Mechanical LBP''': This type is the most common and is due to physical problems with the structures of the lower back, including the spine, intervertebral discs, or supporting muscles and ligaments. | * '''Mechanical LBP''': This type is the most common and is due to physical problems with the structures of the lower back, including the spine, intervertebral discs, or supporting muscles and ligaments. | ||
* '''Non-Mechanical LBP''': This type is less common and can be caused by conditions such as [[kidney stones]], [[endometriosis]], or [[fibromyalgia]]. | * '''Non-Mechanical LBP''': This type is less common and can be caused by conditions such as [[kidney stones]], [[endometriosis]], or [[fibromyalgia]]. | ||
* '''Referred Pain''': This type originates in a different part of the body but is felt in the lower back. | * '''Referred Pain''': This type originates in a different part of the body but is felt in the lower back. | ||
== Prognosis == | == Prognosis == | ||
Most individuals with LBP see improvement in their symptoms within a few weeks of onset. Between 40-90% of patients recover within six weeks. However, recurrence is common, and the condition can become chronic in some cases. | Most individuals with LBP see improvement in their symptoms within a few weeks of onset. Between 40-90% of patients recover within six weeks. However, recurrence is common, and the condition can become chronic in some cases. | ||
== Treatment == | == Treatment == | ||
Treatment for LBP often includes a combination of self-care measures, physical therapy, medication, and in some cases, surgery. Patient education is also vital, as understanding the cause and mechanisms of LBP can help manage the condition. | Treatment for LBP often includes a combination of self-care measures, physical therapy, medication, and in some cases, surgery. Patient education is also vital, as understanding the cause and mechanisms of LBP can help manage the condition. | ||
== References == | == References == | ||
* Mehling, W. E., Gopisetty, V., Bartmess, E., Acree, M., Pressman, A., Goldberg, H., ... & Avins, A. L. (2012). The prognosis of acute low back pain in primary care in the United States: a 2-year prospective cohort study. Spine, 37(8), 678-684. | * Mehling, W. E., Gopisetty, V., Bartmess, E., Acree, M., Pressman, A., Goldberg, H., ... & Avins, A. L. (2012). The prognosis of acute low back pain in primary care in the United States: a 2-year prospective cohort study. Spine, 37(8), 678-684. | ||
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[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Physical therapy]] | [[Category:Physical therapy]] | ||
Latest revision as of 12:20, 14 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics
| Low back pain | |
|---|---|
| |
| Synonyms | Lumbago |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Muscle pain, stiffness, numbness |
| Complications | Chronic pain, sciatica, depression |
| Onset | Sudden or gradual |
| Duration | Days to weeks (acute), more than 12 weeks (chronic) |
| Types | N/A |
| Causes | Muscle strain, herniated disc, degenerative disc disease, spinal stenosis |
| Risks | Obesity, sedentary lifestyle, smoking, occupational hazards |
| Diagnosis | Physical examination, medical imaging |
| Differential diagnosis | Kidney stones, abdominal aortic aneurysm, pancreatitis |
| Prevention | N/A |
| Treatment | Pain management, physical therapy, exercise, surgery |
| Medication | NSAIDs, muscle relaxants, opioids |
| Prognosis | N/A |
| Frequency | Affects about 80% of people at some point in their lives |
| Deaths | Rarely directly fatal |
Low Back Pain (LBP), also known as lumbago, is a prevalent health issue affecting the muscles, nerves, and bones of the back. This condition can manifest in various ways, from a dull, continuous ache to a sudden, sharp sensation.
Classification[edit]
LBP is typically categorized based on the duration and underlying cause of the pain.
By Duration[edit]
- Acute LBP: This type lasts less than six weeks. It is often due to strain or minor injury.
- Sub-chronic LBP: This type persists for six to twelve weeks. It can be a continuation of acute LBP or a new issue.
- Chronic LBP: This type lasts more than twelve weeks and may be due to ongoing conditions such as arthritis, spinal stenosis, or degenerative disc disease.
By Cause[edit]
- Mechanical LBP: This type is the most common and is due to physical problems with the structures of the lower back, including the spine, intervertebral discs, or supporting muscles and ligaments.
- Non-Mechanical LBP: This type is less common and can be caused by conditions such as kidney stones, endometriosis, or fibromyalgia.
- Referred Pain: This type originates in a different part of the body but is felt in the lower back.
Prognosis[edit]
Most individuals with LBP see improvement in their symptoms within a few weeks of onset. Between 40-90% of patients recover within six weeks. However, recurrence is common, and the condition can become chronic in some cases.
Treatment[edit]
Treatment for LBP often includes a combination of self-care measures, physical therapy, medication, and in some cases, surgery. Patient education is also vital, as understanding the cause and mechanisms of LBP can help manage the condition.
References[edit]
- Mehling, W. E., Gopisetty, V., Bartmess, E., Acree, M., Pressman, A., Goldberg, H., ... & Avins, A. L. (2012). The prognosis of acute low back pain in primary care in the United States: a 2-year prospective cohort study. Spine, 37(8), 678-684.
- Delitto, A., George, S. Z., Van Dillen, L. R., Whitman, J. M., Sowa, G., Shekelle, P., ... & Godges, J. J. (2012). Low back pain. Journal of Orthopaedic & Sports Physical Therapy, 42(4), A1-A57.
