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Low Back Pain and Spondylosis.
Benjamin D Elder1, Timothy F Witham1
1Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Seminars in Neurology
|October 6, 2016
Summary
Low back pain is common, but acute cases usually resolve within 4 weeks. Chronic low back pain management requires a multidisciplinary approach to improve function and reduce disability.
Area of Science:
- Orthopedics
- Neurology
- Pain Management
Background:
- Low back pain is a highly prevalent condition affecting most adults.
- Early evaluation through history and physical examination is crucial for identifying serious conditions.
Purpose of the Study:
- To outline the evaluation and management strategies for patients presenting with low back pain.
- To differentiate treatment approaches for acute versus chronic low back pain.
- To define indications for specialist referral.
Main Methods:
- Clinical evaluation including detailed history and physical examination.
- Guideline-based imaging recommendations.
- Multidisciplinary treatment planning.
- Assessment of neurological deficits.
Main Results:
- Acute axial low back pain generally resolves within 4 weeks with a favorable prognosis.
- Chronic low back pain necessitates multidisciplinary pain management for functional improvement.
- Urgent surgical referral is indicated for severe, progressive neurological deficits like cauda equina syndrome.
Conclusions:
- A thorough clinical assessment guides diagnostic imaging and treatment.
- Multidisciplinary care is essential for managing chronic low back pain and associated disability.
- Timely referral to specialists ensures appropriate management of neurological emergencies and degenerative conditions.
