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Persistent back pain and sciatica in the United States: patient characteristics
D M Long1, M BenDebba, W S Torgerson
1Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland 21287, USA.
Journal of Spinal Disorders
|February 1, 1996
Summary
Persistent low back pain affects adults in their prime, causing significant functional impairment despite varied treatments. Most patients experience long-term pain with few definitive diagnostic findings, highlighting a distinct patient group.
Area of Science:
- Orthopedics
- Neurosurgery
- Public Health
Background:
- Low back pain is a widespread and disabling global health issue.
- Persistent low back pain (PLBP) presents unique challenges compared to acute or chronic pain syndromes.
- Understanding PLBP patient characteristics is crucial for effective management.
Purpose of the Study:
- To characterize patients with persistent low back pain.
- To describe the functional and psychological impact of PLBP.
- To identify current treatment patterns and their effectiveness.
Main Methods:
- Multicenter study of patients referred to neurosurgery or orthopedic surgery.
- Characterization of patient demographics, medical history, and pain complaints.
- Analysis of diagnostic findings, treatments prescribed, and functional status.
Main Results:
- PLBP is most common in individuals aged 30s-40s, predominantly white, educated, and affluent.
- Patients report long-term, intermittent pain (average 10 years) with functional limitations but minimal psychological distress.
- Diagnostic imaging often reveals spondylotic abnormalities; however, physical exams lack definitive clues, and treatments are frequently ineffective.
Conclusions:
- Persistent low back pain patients represent a distinct group with unique characteristics.
- Current diagnostic and treatment strategies for PLBP show limited effectiveness.
- Further research is needed to understand and manage this specific patient population effectively.