APPROACH TO LOW BACK PAIN

Authors

  • Oscar Chávez Vallarino Beneficencia Española de Tampico,Avenida Hidalgo 3909, Colonia Guadalupe CP 89120 Tampico, Tamaulipas, México
  • Hiram Jesse Velarde Borjas Beneficencia Española de Tampico,Avenida Hidalgo 3909, Colonia Guadalupe CP 89120 Tampico, Tamaulipas, México
  • Monserrat Arriaga Soriano Universidad Autónoma de Tamaulipas, Departamento de Investigación, Adolfo López M. S/N, Sin Colonia, 89109 Tampico, Tamaulipas, Campus Tampico
  • Adriana Luque Ramos Universidad Autónoma de Tamaulipas, Departamento de Investigación, Adolfo López M. S/N, Sin Colonia, 89109 Tampico, Tamaulipas, Campus Tampico
  • Carlos Silvestre Mateos Troncoso Universidad Autónoma de Tamaulipas, Departamento de Investigación, Adolfo López M. S/N, Sin Colonia, 89109 Tampico, Tamaulipas, Campus Tampico
  • Josefina Altamira García Universidad Autónoma de Tamaulipas, Departamento de Investigación, Adolfo López M. S/N, Sin Colonia, 89109 Tampico, Tamaulipas, Campus Tampico
  • Alcides Ramos Sánchez Universidad Autónoma de Tamaulipas, Departamento de Investigación, Adolfo López M. S/N, Sin Colonia, 89109 Tampico, Tamaulipas, Campus Tampico

Keywords:

Low back pain, Epidemiology, Physical therapy, Surgery

Abstract

Low back pain is the most common cause of limitation of activity in patients younger than 45 years, the second most common cause of the visits to primary care physician, the fifth cause of hospital admissions, and the third most common cause of surgical procedures. It is estimated that the 75 % to 80 % of the adult population will have low back pain once in a lifetime. The majority of the patients will not seek medical care and will get better after a short term of treatment.  Nevertheless, among 10 % of these patients will develop chronic persistent pain or recurrent pain. In order to classify the origin of low back pain, a complete medical history and physical exam must be undertaken.  Image studies should be ordered in a judicious manner based in a symptom directed algorithm. Among others, simple X-rays, computed axial tomography, and magnetic resonance should be considered.  Electromyography is also an important diagnostic tool.  Once conservative measures have failed and the patient continues to persist with low back pain that limits normal day activities for more than 6 months, with or without radicular symptoms, surgical options must be considered.

References

Andersson, G.B. (1998). Epidemiology of low back pain. Acta Orthop Scand Suppl. 69(281): 28-31.

Askar, Z., Wardlaw, D., Muthukumar, T., Smith, F., Kader, D., and Gibson, S. (2004). Correlation between inter-vertebral disc morphology and the results in patients undergoing Graf ligament stabilisation. Eur Spine J. 13(8): 714-8.

Boden, S.D., Davis, D.O., Dina, T.S., Patronas, N.J., and Wiesel, S.W. (1990). Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 72(3): 403-8.

Barbagallo, G.M., Albanese, V., Raich, A.L., Dettori, J.R., Sherry, N., and Balsano, M. (2014). Lumbar Lateral Interbody Fusion (LLIF): Comparative Effectiveness and Safety versus PLIF/TLIF and Predictive Factors Affecting LLIF Outcome. Evid Based Spine Care J. 5(1): 28-37.

Becker, P., Bretschneider, W., Tuschel, A., and Ogon, M. (2010). Life quality after instrumented lumbar fusion in the elderly. Spine (Phila Pa 1976). 35(15): 1478-81.

Berg, S., Tullberg, T., Branth, B., Olerud, C., and Tropp, H. (2009). Total, disc replacement compared to lumbar fusion: a randomised controlled trial with 2-year follow-up. Eur Spine J. 18(10): 1512-9.

Blondel, B., Tropiano, P., Gaudart, J., Huang, R.C., and Marnay, T. (2011). Clinical results of lumbar total disc arthroplasty in accordance with Modic signs, with a 2-year-minimum follow-up. Spine (Phila Pa 1976). 36(26): 2309-15.

Bono, C.M. and Garfin, S.R. (2004). History and evolution of disc replacement. Spine J. 4(6): 145S-150S.

Boswell, M.V., Manchikanti, L., Kaye, A.D., Bakshi, S., Gharibo, C.G., Gupta, S…, and Hirsch, J.A. (2015). A Best-Evidence Systematic Appraisal of the Diagnostic Accuracy and Utility of Facet (Zygapophysial) Joint Injections in Chronic Spinal Pain. Pain Physician. 18(4): E497-533.

Buric, J. and Pulidori, M. (2011). Long-term reduction in pain and disability after surgery with the interspinous device for intervertebral assisted motion (DIAM) spinal stabilization system in patients with low back pain: 4-year follow-up from a longitudinal prospective case series. Eur Spine J. 20(8): 1304-11.

Buric, J., Pulidori, M., Sinan, T., and Mehraj, S. (2011). DIAM device for low back pain in degenerative disc disease: 24 months follow-up. Acta Neurochir Suppl. 108(): 177-82.

Dillingham, T. (1995). Evaluation and management of low back pain: an overview. State Art Rev. 9(): 559-74.

França, F.R., Burke, T.N., Caffaro, R.R., Ramos, L.A., and Marques, A.P. (2012). Effects of Muscular Stretching and Segmental Stabilization on Functional Disability and Pain in Patients with Chronic Low Back Pain. J. Manipulativen Physol Ther. 35(4): 279-285.

Fabrizi, A.P., Maina, R., and Schiabello, L. (2011). Interspinous spacers in the treatment of degenerative lumbar spinal disease: our experience with DIAM and Aperius devices. Eur Spine J. 20(): S20-6.

Floman, Y., Millgram, M.A., Smorgick, Y., Rand, N., and Ash¬kenazi, E. (2007). Failure of the Wallis interspinous implant to lower the incidence of recurrent lumbar disc herniations in patients undergoing primary disc excision. J Spinal Disord Tech. 20(5): 337-41.

Fritzell, P., Hägg, O., Wessberg, P., Nordwall, A; Swedish Lumbar Spine Study Group. (2002). Chronic low back pain and fusion: a comparison of three surgical techniques: a prospective multicenter randomized study from the Swedish lumbar spine study group. Spine (Phila Pa 1976). 27(11): 1131-41.

Frymoyer, J.W. (1988). Back pain and sciatica. N Engl J Med. 318(): 291-300.

Geoffrey, A., Dalton, Brian, Rice, Charles. (2013). Human neuromuscular structure and function in old age. Journal of Sport and Health Science. 2(4): 215-226.

Guyer, R.D., McAfee, P.C., Hochschuler, S.H., Blumenthal, S.L., Fedder, I.L., Ohnmeiss, D.D., and Cunningham, B.W. (2004). Prospective randomized study of the Charite artificial disc: data from two investigational centers. Spine J. 4(6): 252S-259S.

Huang, R.C., Girardi, F.P., Cammisa, F.P., Jr, Lim, M.R., Tropiano, P., and Marnay, T. (2005). Correlation between range of motion and outcome after lumbar total disc replacement: 8.6-year follow-up. Spine (Phila Pa 1976). 30(12): 1407-11.

Kabir, S.M., Gupta, S.R., Casey, A.T. (2010). Lumbar interspinous spacers: a systematic review of clinical and biomechanical evidence. Spine (Phila Pa 1976). 35(25): E1499-506.

Korovessis, P., Repantis, T., Zacharatos, S., and Zafiropoulos, A. (2009). Does Wallis implant reduce adjacent segment degeneration above lumbosacral instrumented fusion? Eur Spine J. 18(6): 830-40.

Lawand, P. (2015). Les Effets d´un programme d´etirements musculaires selon la méthode de rééducation posturale globale (RPG) sur les patients sufrfrant de lombalgie chronique: un essai randomisé controlé. Rev Rhum Ed Fr. 32(5):322–326

Le-Huec, J., Basso, Y., Mathews, H., Mehbod, A., Aunoble S, Friesem T, and Zdeblick T. (2005). The effect of single-level, total disc arthroplasty on sagittal balance parameters: a prospective study. Eur Spine J.14(5): 480-6.

Luoma, K., Riihimaki, H., Luukkonen, R., Raininko, R., Viikari-Juntura, E., and Lamminen, A. (2000). Low back pain in relation to lumbar disc degeneration. Spine (Phila Pa 1976). 25(4): 487- 92.

Madan, S. and Boeree, N.R. (2003). Outcome of the Graf ligamentoplasty procedure compared with anterior lumbar interbody fusion with the Hartshill horseshoe cage. Eur Spine J. 12(4): 361-8.

Manchikanti, L., Kaye, A.D., Boswell, M.V., Bakshi, S., Gharibo, C.G., Grami, V., Hirsch, J.A. (2015). A Systematic Review and Best Evidence Synthesis of the Effectiveness of Therapeutic Facet Joint Interventions in Managing Chronic Spinal Pain. Pain Physician. 18(4): E535-82.

McKenzie, R. and May, S. (2003). The lumbar spine: mechanical diagnosis and therapy. J Chiropr Med, Spring. 2(2): 60–65.

Menant, J.C., Close, J.C., Delbaere, K., Sturnieks, D.L., Trollor, J., Sachdev, P.S., Brodaty, H., and Lord, S.R. (2012). Relationships between serum vitamin D levels, neuromuscular and neuropsychological function and falls in older men and women. Osteoporos Int. 23(3): 981-9.

Miller, J.A., Schmatz, C., and Schultz, A.B. (1988). Lumbar disc degeneration: correlation with age, sex, and spine level in 600 autopsy specimens. Spine (Phila Pa 1976). 13(2): 173-8.

Moore, A., Mannion, J., and Moran, R.W. (2015). The efficacy of surface electromyographic biofeedback assisted stretching for the treatment of chronic low pain. J. Body Mov Ther19(1): 8-16.

Murtagh, R.D., Quencer, R.M., Cohen, D.S., Yue, J.J., and Sklar, E.L. (2009). Normal and abnormal imaging findings in lumbar total disk replacement: devices and complications. Radiographics. 29(1): 105-18.

On, A.Y., Aykanat, D., Atamaz, F., Eyigor, C., Kocanoguallari, H., and Oksel, F. (2015). It is necessary to trictly diagnose fibromyalgia syndrome in patients with chronic widespread pain? Clin Rheumatol. 34: 1473-1479.

Rosario, J.L., Bezerra, M.S., Mattei, R., and Leite, J.R. (2014). Differences and similarities in postural alterations caused by sadness and depression. J Bodyw Mov Ther. 18(4):540-4.

Richter, A., Schutz, C., Hauck, M., and Halm, H. (2010). Does an interspinous device (Coflex) improve the outcome of decompressive surgery in lumbar spinal stenosis? One-year follow up of a prospective case control study of 60 patients. Eur Spine J. 19(2): 283-9.

Rigby, M.C., Selmon, G.P., Foy, M.A., and Fogg, A.J. (2001). Graf ligament stabilisation: mid- to long-term follow-up. Eur Spine J. 10(3):234–236.

Ross, R., Mirza, A.H, Norris, H.E., and Khatri, M. (2007). Survival and clinical outcome of SB Charite III disc replacement for back pain. SJ Bone Joint Surg Br. 89(6): 785-9.

Sénégas, J. (2002). Mechanical supplementation by non-rigid fixation in degenerative intervertebral lumbar segments: the Wallis system. Eur Spine J. 11(2): S164-9.

Tsai, K.J., Murakami, H., Lowery, G.L., and Hutton, W.C. (2006). A biomechanical evaluation of an interspinous device (Coflex) used to stabilize the lumbar spine. J Surg Orthop Adv. 15(3): 167-72.

Woolf, A.D. and Pfleger, B. (2003). Burden of major musculoskeletal conditions. Bull World Health Organ. 81: 646-656

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Published

2022-05-27

How to Cite

Chávez Vallarino, O. ., Velarde Borjas, H. J. ., Arriaga Soriano, M. ., Luque Ramos , A. ., Mateos Troncoso, C. S. ., Altamira García, J. ., & Ramos Sánchez, A. . (2022). APPROACH TO LOW BACK PAIN. ARCHIVOS DE MEDICINA, SALUD Y EDUCACIÓN MÉDICA, 1(1), 30–47. Retrieved from https://archivosdemedicina.uat.edu.mx/index.php/nuevo/article/view/28

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Vo. 1 No. 1: January-June 2022

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