Low Back Pain Pathogenesis and Treatment

Introduction Low back pain is thought of as having no structural correlates in radiographic findings. But an associated deconditioning syndrome is assigned by back pain complaints accompanied by functional deficits, especially peak force and performance deficits of deep trunk muscles. We were aiming at investigating if there might be comparable relations between spinal mal-alignment and […]

Spinal Alignment and Low Back Pain Indicating Spine Shape Parameters(Pathogenesis) Part 2

Results Cross-sectional study Factor analysis A factor analysis revealed components describing almost independent spine shape characters determined by video raster stereography parameters, with respect to the interdependency of theses parameters. Different models for the controls (CON) and for the low back pain patients (LBP) indicated low back pain markers (tab. 3). Trunk inclination (Tr-Inc), trunk […]

Spinal Alignment and Low Back Pain Indicating Spine Shape Parameters(Pathogenesis) Part 3

Parameters of spinal alignment Three-way ANOVAs revealed significant within-subjects effects for only a few video raster stereography parameters of the spinal alignment. Pelvis torsion (P-Tors) and lumbar lordosis angle (LA-max) showed significant changes for the total of the low back pain patients – a group statistically verified – manifesting themselves in pelvis position correction (-0,6°; […]

Osteophyte Formation in the Lumber Spine and Relevance to Low Back Pain (Pathogenesis) Part 1

Introduction Vertebral osteophyte formation is a well-documented phenomenon that is associated with degeneration and altered mechanics of the spine, both of which have been considered to be the result of aging, a purely physiologic response to load bearing, or intrinsic spinal disease as etiologic factors. (Lane et al., 1993, O’Neill et al., 1999) They are […]

Osteophyte Formation in the Lumber Spine and Relevance to Low Back Pain (Pathogenesis) Part 2

Osteophyte and gene polymorphism There were no significant differences in the disc score, osteophyte score or the ratio of group B in all polymorphisms, though Arg/Arg polymorphism in ADH2 tended to be less frequent. (p=0.051) (Table 3) Results of the logistic regression model to select gene polymorphism factors associated with the presence of osteophyte formation […]

Low Back Pain and Injury in Athletes (Pathogenesis) Part 1

Introduction Low back pain is an extremely common entity in the general population. Athletes are no different in their affliction for suffering low back pain and injuries, particularly in sports that carry specific low back demands. Whilst traditionally low back pain in the non-athletic population has been thought of in terms of being acute or […]

Low Back Pain and Injury in Athletes (Pathogenesis) Part 2

Consequences to athletic performance Low back injury in athletes may be of further significance as Nadler et al. documented that athletes with resolved low back pain from a history of low back injury demonstrate significantly diminished athletic performance in a 20m shuttle run test compared with a healthy group (Nadler et al., 2002). Despite this […]

Relationship of Duration and Intensity of Pain with Depression and Functional Disability Among Patients with Low-Back Pain (Pathogenesis)

Introduction Low Back Pain (LBP) is a common musculoskeletal disorder causing huge humanitarian and economical costs (Andersson, 1999). It is often classified, according to duration of pain, as acute (short term), sub-acute (intermediate) and chronic (long-term) and is typically referred to as being specific or non-specific (Andersson, 1999; Merskey and Bogduk, 1994). Specific LBP refers […]

Psychosocial Risk Factors in the Development of LBP (Pathogenesis) (Low Back Pain)

Introduction Low back pain (LBP) is the most prevalent and expensive musculoskeletal problem worldwide. As many as eight in every ten adults experience LBP at some point in their lifetime (Dionne et al., 2001). An episode of LBP usually lasts a few days in most people, unfortunately in some individuals, the pain deteriorates and persists […]

Evaluation and Management of Lower Back Pain in Oncological Patients (Pathogenesis) Part 1

Introduction Back pain is one of the most common complaints that brings patients to be examined by a physician (Moore, 2010). Pain may originate from a variety of tissues, including intervertebral disks, vertebrae, ligaments, neural structures, muscles, and fascia, or present as referred pain from adjacent pathology, such as peptic ulcers, pancreatitis, pyelonephritis, aortic aneurysm, […]