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Clinical Orthopaedics and Related... Sep 1987Low back pain (LBP) is a symptom produced by disorders of the lumbar spine. It may be impossible to prevent all LBP, and while most episodes of acute LBP are... (Review)
Review
Low back pain (LBP) is a symptom produced by disorders of the lumbar spine. It may be impossible to prevent all LBP, and while most episodes of acute LBP are self-limiting, the disorders producing recurrent and chronic LBP are usually incurable. The difficulties in diagnosing the disorders complicate effective management and prevention; however, prevention of spinal trauma reduces the incidence and prevalence of LBP. Effective preventive measures include the reduction of road trauma and smoking, improved vehicle seating, the control of vehicle vibrations, careful worker selection, job redesign, improved physical fitness, and the proper use of the spine in the home, at school, at work, and in sports. Frymoyer includes these and other measures in his tips to prevent LBP. Medical and paramedical professionals must be sure their investigations and treatments do not contribute to making the disorder chronic and more complex. The inappropriate use and interpretation of spinal investigations and the overzealous use of surgical procedures certainly add to the problem. An agreement on an acceptable "glossary" of lumbar terms and clinical syndromes is needed together with a new research emphasis on prevention and a continuation of research efforts in epidemiology, etiology, and management of LBP. Effective public education is vital, so that everyone is aware of the causes and methods of prevention of LBP. Discussion on the "20th-century epidemic of LBP" may be concluded on an optimistic note by citing White, who considers most LBP to be preventable and controllable with simple measures, reinforcable through public education, which can do for LBP what has been done in the field of dental hygiene.
Topics: Back Pain; Humans; Occupational Diseases
PubMed: 2957137
DOI: No ID Found -
JPMA. the Journal of the Pakistan... Aug 2020
Topics: Back Pain; Child; Humans; Schools
PubMed: 32794476
DOI: No ID Found -
Medizinische Monatsschrift Fur... Aug 2000
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British Medical Journal Feb 1977
Topics: Back Pain; Humans; Manipulation, Orthopedic
PubMed: 139188
DOI: No ID Found -
British Medical Journal Feb 1977
Topics: Adult; Back Pain; Diagnosis, Differential; Dura Mater; Humans; Intervertebral Disc Displacement; Joints; Spinal Diseases; Spinal Nerve Roots
PubMed: 138470
DOI: 10.1136/bmj.1.6058.432 -
Rheumatology and Rehabilitation May 1977Replies to a questionnaire showed that, amongst 180 women delivered in The London Hospital, 48% experienced backache during pregnancy; in one third of these it was...
Replies to a questionnaire showed that, amongst 180 women delivered in The London Hospital, 48% experienced backache during pregnancy; in one third of these it was severe. The prevalence of back pain increased with both increasing age and increasing parity, and it was difficult to separate the relative contributions of these two factors. No evidence was found of an association between backache during pregnancy and height, weight, 'obesity index', weight gain, or baby's weight. Analysis of aggravating and relieving factors indicates some differences between backache in the pregnant and 'mechanical' back pain in the non-pregnant. Slightly less backache was reported amongst patients attending antenatal physiotherapy classes but the figures do not provide clear evidence of any protective effect of this attendance.
Topics: Back Pain; Female; Humans; London; Maternal Age; Parity; Pregnancy; Pregnancy Complications; Prenatal Care
PubMed: 141093
DOI: 10.1093/rheumatology/16.2.95 -
The Medical Journal of Australia Jan 1946
Topics: Back Pain; Humans; Low Back Pain
PubMed: 21013729
DOI: 10.5694/j.1326-5377.1934.tb53494.x -
The Medical Journal of Australia Jan 1946
Topics: Back Pain; Humans; Low Back Pain
PubMed: 21013730
DOI: 10.5694/j.1326-5377.1934.tb53494.x -
The Medical Clinics of North America Sep 1957
Topics: Back Pain; Diagnosis, Differential; Humans
PubMed: 13464250
DOI: No ID Found -
British Medical Journal Oct 1971
Topics: Anesthesia, Epidural; Anesthetics, Local; Back Pain; Humans; Intervertebral Disc Displacement
PubMed: 4255858
DOI: 10.1136/bmj.4.5780.173-b