TAILIEUCHUNG - Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 19

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 19. Spinal disorders are among the most common medical conditions with significant impact on health related quality of life, use of health care resources and socio-economic costs. Spinal surgery is still one of the fastest growing areas in clinical medicine. | 156 Section Basic Science sodically within a 6-month period or last for more than 3 months 47 . Back and neck pain within non-specific spinal disorders are frequently accompanied by other types of musculoskeletal pain bodily complaints psychological distress and especially in chronic cases amplified dysfunctional cognition . catastro-phizing and pain behavior 81 . It is important to keep in mind that LBP of less than 7 days duration is not a disease. However a complaint can turn into a complex syndrome. The lifetime prevalence of LBP ranges between 75 and 85 Low Back Pain Low back pain is common and appears as pain muscle tension or stiffness localized below the costal margin and above the inferior gluteal folds with or without leg pain sciatica 54 . With respect to the cause of back pain the so-called diagnostic triage 99 100 classification has become standard. It divides low back pain into three categories specific spinal pathology nerve root pain radicular pain non-specific low back pain Back pain often is divided into three large groups with respect to its location aggravating factors and temporal nature referred pain axial pain and radicular pain. axial or mechanical pain neck dorsal back is restricted to the lower back area and gets worse with certain activities or positions. referred pain comes and goes and varies in intensity. It starts in the low back area and commonly spreads into the groin buttocks and upper thighs. radicular pain is deep and usually constant. It radiates down the leg according to the dermatone and is accompanied by numbness or tingling and muscle weakness. This type of pain is caused by injury to a spinal nerve. Some of the possible causes are a disc herniation or foraminal stenosis. About 75-85 of all individuals will experience LBP at some time during their life lifetime prevalence . Most epidemiological studies do not differentiate between types of pain 66 . The lifetime prevalence for associated leg pain seems to be about half .

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