References are cited after the quote.
Abnormal muscle function, abnormal forces acting on musculoskeletal structures, abnormal posture or abnormal joint movement may all produce pain. Waddell MD The Back Pain Revolution. Churchill Livingstone 1998: 144.
Protracted rest leads to a catabolic state with general malaise. There is demineralization of bone and a 3% loss of muscle strength per day. Rest particularly prolonged bed rest may be the most harmful treatment ever devised and a potent cause of iatrogenic disability. Waddell MD Spine Journal 1987; 12(7): 632-644.
85% of patients with low back pain cannot be given a precise pathoanatomical diagnosis. The association between symptoms and imaging results is weak. Risk factors include heavy lifting, poor conditioning, although low back pain is common in subjects without these risk factors. Because a precise anatomical diagnosis is elusive, the diagnostic evaluation is often frustrating. For patients with nonspecific low back pain a precise pathoanatomical diagnosis is often impossible. Deyo, MD, MPH, Weinstein DO. Low Back Pain New England Journal of Medicine. 2001; 344(5): 363-369
The annual number of hospitalizations for serious GI complications related to NSAIDS is estimated to be at least 103,000. Conservative estimates of NSAIDS related deaths in the US are 16,500. If deaths from GI toxic effects of NSAIDS were tabulated separately these effects would constitute the 15th most common cause of death in the US (similar to number of deaths related to AIDS and considerably greater than the number of deaths from multiple myeloma, asthma, cervical cancer and Hodgkins disease. Wolfe MM, MD et al. Gastrointestinal Toxicity of Non-steroidal Anti- inflammatory Drugs. New England Journal of Medicine 1999 340(24):1888-1899.
Results of a study in which 373 patients with their first onset of back pain are followed for 10 years. 89% had recurrences and only 33% had no lost time from work from future back problems. Strategies to manage low back pain must be long term and preventive. Frank MD. British Medical Journal 1993: April 3: 901-9.
Traditional teaching is that 90% of low back pain attacks recover within 6 weeks, but recent natural history studies suggest that this overly optimistic and over emphasizes return to work. It now seems that 50% of attacks settle within 4 weeks but 15-20% have some symptoms for at least one year 70% of patients who have acute back pain will suffer 3 or more recurrences 20% of patients with low back pain will continue to have some back symptoms over long periods of their lives. Low back disability affects around 3-6% of the population each year.
Back symptoms are the most common cause of disability for people under the age of 45. Benefits for low back pain in Britain are rising more quickly than for any other cause of chronic incapacity. Waddell MD. JMPT 1995: 18(9) 590-596.
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I work in a creative field and always heavily indulged in my work and have n't paid much attention to my posture for many years, resulting in severe back and neck pain. I got a referral to Dr. Colle Hunt and 've thanked GOD ever since. Dr. Hunt's non-surgical specialized treatment of spine, musculoskeletal and nerve dysfunction has brought activity back into my life. In addition to this, Dr. Hunt has taught me how to proactively prevent further abuse of my spine.