Senior Scholars Program

Title

Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment.

UMMS Affiliation

School of Medicine; Senior Scholars Program

Faculty Mentor

Matthew Brown, MD

Publication Date

2019-03-11

Document Type

Article

Disciplines

Anesthesia and Analgesia | Diagnosis | Medical Education | Medical Physiology | Musculoskeletal Diseases | Therapeutics

Abstract

PURPOSE OF REVIEW: Low 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 FINDINGS: Patient 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.

SUMMARY: 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.

Keywords

Low back pain, Axial low back pain, Referred low back pain, Radiculopathy, Lumbosacral pain

DOI of Published Version

10.1007/s11916-019-0757-1

Source

Curr Pain Headache Rep. 2019 Mar 11;23(3):23. doi: 10.1007/s11916-019-0757-1. Link to article on publisher's site

Journal/Book/Conference Title

Current pain and headache reports

Comments

Lauren Testa participated in this study as a medical student in the Senior Scholars research program at the University of Massachusetts Medical School.

Related Resources

Link to article in PubMed

PubMed ID

30854609

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