Non-specific low back pain

Non-specific low back pain has become a major public health problem worldwide. The lifetime prevalence of low back pain is reported to be as high as 84%, and the prevalence of chronic low back pain is about 23%, with 11–12% of the population being disabled by low back pain. Mechanical factors, such...

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Vydáno v:The Lancet (British edition) Ročník 379; číslo 9814; s. 482 - 491
Hlavní autoři: Balagué, Federico, Mannion, Anne F, Pellisé, Ferran, Cedraschi, Christine
Médium: Journal Article
Jazyk:angličtina
Vydáno: Kidlington Elsevier Ltd 04.02.2012
Elsevier
Elsevier Limited
Témata:
Back pain
Biological and medical sciences
Chronic Disease
clinical examination
Diseases of the osteoarticular system
Diseases of the spine
Epidemiology
General aspects
guidelines
Health care
Humans
image analysis
Internal Medicine
Low back pain
Low Back Pain - etiology
Low Back Pain - physiopathology
Low Back Pain - prevention & control
Low Back Pain - therapy
mechanism of action
Medical sciences
pain
patients
Public health
Risk Factors
Studies
surgery
Medicine
Pain
Lumbar spine
Low back pain
Diseases of the osteoarticular system
Rachialgia
Spine disease
ISSN:0140-6736, 1474-547X, 1474-547X
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Popis
Shrnutí:Non-specific low back pain has become a major public health problem worldwide. The lifetime prevalence of low back pain is reported to be as high as 84%, and the prevalence of chronic low back pain is about 23%, with 11–12% of the population being disabled by low back pain. Mechanical factors, such as lifting and carrying, probably do not have a major pathogenic role, but genetic constitution is important. History taking and clinical examination are included in most diagnostic guidelines, but the use of clinical imaging for diagnosis should be restricted. The mechanism of action of many treatments is unclear, and effect sizes of most treatments are low. Both patient preferences and clinical evidence should be taken into account for pain management, but generally self-management, with appropriate support, is recommended and surgery and overtreatment should be avoided.
Bibliografie:http://dx.doi.org/10.1016/S0140-6736(11)60610-7
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ISSN:0140-6736
1474-547X
1474-547X
DOI:10.1016/S0140-6736(11)60610-7