Strep Throat vs. Sore Throat Among persons with chronic low back pain without neurologic deficits, a number of factors play a role in the length of disability. Recurrent low back pain and prolonged disability tend to correlate with prior history of low back pain, advancing age, job dissatisfaction, emotional distress, heavy or repetitive lifting and physical work, prolonged sitting or standing, and the presence of a worker’s compensation claim or pending litigation.4
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ankylosing spondylitis inflammatory arthritis of spine and pelvis, mostly Long term back pain starting well before middle age and progressing slowly and erratically, improves with activity but not rest, prolongued morning stiffness, possible involvement of other areas. More common in men.
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There are a number of ways to classify low back pain with no consensus that any one method is best. There are three general types of low back pain by cause: mechanical back pain (including nonspecific musculoskeletal strains, herniated discs, compressed nerve roots, degenerative discs or joint disease, and broken vertebra), non-mechanical back pain (tumors, inflammatory conditions such as spondyloarthritis, and infections), and referred pain from internal organs (gallbladder disease, kidney stones, kidney infections, and aortic aneurysm, among others). Mechanical or musculoskeletal problems underlie most cases (around 90% or more), and of those, most (around 75%) do not have a specific cause identified, but are thought to be due to muscle strain or injury to ligaments. Rarely, complaints of low back pain result from systemic or psychological problems, such as fibromyalgia and somatoform disorders.
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While mechanical low back pain is not associated with mortality, morbidity in terms of lost productivity, use of medical services, and cost to society is staggering. Total workers’ compensation costs for cases occurring in 1989 in the United States amounted to $11.4 billion, making it the most costly ailment for working-age adults. No evidence has been found to indicate that these costs are declining.
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Vertebroplasty and kyphoplasty are minimally invasive treatments to repair compression fractures of the vertebrae caused by osteoporosis. Vertebroplasty uses three-dimensional imaging to assist in guiding a fine needle through the skin into the vertebral body, the largest part of the vertebrae. A glue-like bone cement is then injected into the vertebral body space, which quickly hardens to stabilize and strengthen the bone and provide pain relief. In kyphoplasty, prior to injecting the bone cement, a special balloon is inserted and gently inflated to restore height to the vertebral structure and reduce spinal deformity.
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Patio Umbrellas & Stands Vacuum Sealers Shop All Playstation 4 Weekly Email Sign Up If the tough exterior of one of your spinal discs tears, some of the soft stuff on the inside can bulge outward. This condition is called a herniated, slipped, or ruptured disc, and it can cause sharp pain that might travel down your legs or up into your arms, Dr. Patel says. You may experience numbness or weakness in those body parts, too.
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Cushions for Seating The history should also explore factors that increase the likelihood of an underlying systemic disorder as a cause. These include advanced age, history of cancer, unexplained weight loss, use of injected drugs, chronic infection, prolonged duration of pain, pain that does not respond to rest or recumbency, and failure to respond to previous therapy. Box 1 reviews these factors.
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