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Curr Pain Headache Rep · Mar 2019
ReviewLow Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment.
- Ivan Urits, Aaron Burshtein, Medha Sharma, Lauren Testa, Peter A Gold, Vwaire Orhurhu, Omar Viswanath, Mark R Jones, Moises A Sidransky, Boris Spektor, and Alan D Kaye.
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA. iurits@bidmc.harvard.edu.
- Curr Pain Headache Rep. 2019 Mar 11; 23 (3): 23.
Purpose Of ReviewLow back pain encompasses three distinct sources: axial lumbosacral, radicular, and referred pain. Annually, the prevalence of low back pain in the general US adult population is 10-30%, and the lifetime prevalence of US adults is as high as 65-80%.Recent FindingsPatient history, physical exam, and diagnostic testing are important components to accurate diagnosis and identification of patient pathophysiology. Etiologies of low back pain include myofascial pain, facet joint pain, sacroiliac joint pain, discogenic pain, spinal stenosis, and failed back surgery. In chronic back pain patients, a multidisciplinary, logical approach to treatment is most effective and can include multimodal medical, psychological, physical, and interventional approaches. Low back pain is a difficult condition to effectively treat and continues to affect millions of Americans every year. In the current investigation, we present a comprehensive review of low back pain and discuss associated pathophysiology, diagnosis, and treatment.
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