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Epidemiology, etiology, diagnostic evaluation, & symptoms of low back pain

  [ 49 votes ]   [ Discuss This Article ]
By Borenstein D • www.ProHealth.com • March 12, 1996


Epidemiologic studies found mechanical low back pain to be the fifth
most common reason for visiting a physician. Proteoglycan
production is altered with the age of the host and may explain
the development of degenerative disk disease. Important
clinical low back pain entities reviewed in the literature
include exercise-associated degenerative disk disease,
sciatica in adults less than 21 years of age, fibromyalgia,
apophyseal and sacroiliac joint pain, and sacral
insufficiency fractures. No consensus exists among physicians
concerning appropriate therapy for low back pain. Return to
usual activity is the most effective therapy, according to a
recent study. The first decompression operation for spinal
stenosis has the best opportunity for a good outcome.
Chiropractors are the most expensive health care providers
for low back pain patients.




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