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Approximately 9–12% of people (632 million) have low back pain at any given point in time, [26] and nearly 25% report having it at some point over any one-month period. [7] [8] About 40% of people have low back pain at some point in their lives, [7] with estimates as high as 80% among people in the developed world. [27]
Yoshihiro Togashi (Japanese: 冨樫 義博, Hepburn: Togashi Yoshihiro, born April 27, 1966) is a Japanese manga artist.He began drawing manga at an early age, before being recognized for his talent by the publishing company Shueisha while attending college.
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
Spinal stenosis occurs in as many as 8% of people. [4] It occurs most commonly in people over the age of 50. [9] Males and females are affected equally often. [10] The first modern description of the condition is from 1803 by Antoine Portal, and there is evidence of the condition dating back to Ancient Egypt. [11]
The last decade of studies on Modic changes have shown that Modic changes are associated with many treatment-resistant pain episodes and may result in patients entering a state of chronic low back pain. On average, individuals with Modic changes have had chronic pain for longer than individuals suffering from non-Modic changes back pain. [9] [10]
An acute injury can be traced back to a specific incident, causing immediate pain and often swelling. [15] [16] On the other hand, a Chronic injury does not have a distinct origin, it develops slowly, is persistent and long lasting, and it is accompanied by dull pain, aches or soreness. [15] Broken Metacarpals from a high impact fall
Injuries and pain in the musculoskeletal system caused by acute traumatic events like a car accident or fall are not considered musculoskeletal disorders. [4] MSDs can affect many different parts of the body including upper and lower back, neck, shoulders and extremities (arms, legs, feet, and hands). [5]
[1] [2] Waddell's signs may indicate non-organic or psychological component to chronic low back pain. Historically they have also been used to detect malingering in patients with back pain. While testing takes less than one minute, [2] it has been described as time-consuming and alternatives have been proposed. [3]