Book contents
- Cambridge Handbook of Pain Medicine
- Cambridge Handbook of Pain Medicine
- Copyright page
- Contents
- Contributors
- Pain Handbook Introduction
- Part I Introduction to Pain: Pain Signaling Pathways
- Part II Common Categories of Pharmacologic Medications to Treat Chronic Pain
- Part III Chronic Pain Conditions Head and Neck
- Part IV Spine
- Chapter 15 Chronic Neuraxial Spine Pain
- Chapter 16 Vertebral Compression Fractures
- Chapter 17 Sacral Insufficiency Fractures
- Part V Extremities
- Part VI Misc
- Part VII Adjunctive Therapy
- Index
- References
Chapter 15 - Chronic Neuraxial Spine Pain
from Part IV - Spine
Published online by Cambridge University Press: 01 December 2023
Book contents
- Cambridge Handbook of Pain Medicine
- Cambridge Handbook of Pain Medicine
- Copyright page
- Contents
- Contributors
- Pain Handbook Introduction
- Part I Introduction to Pain: Pain Signaling Pathways
- Part II Common Categories of Pharmacologic Medications to Treat Chronic Pain
- Part III Chronic Pain Conditions Head and Neck
- Part IV Spine
- Chapter 15 Chronic Neuraxial Spine Pain
- Chapter 16 Vertebral Compression Fractures
- Chapter 17 Sacral Insufficiency Fractures
- Part V Extremities
- Part VI Misc
- Part VII Adjunctive Therapy
- Index
- References
Summary
Three sources of pain are axial pain (e.g., axial lumbosacral), radiculopathic pain (e.g., lumbosacral radiculopathy), and referred pain. Axial low back pain is pain that is localized to the low back and does not radiate in a known dermatomal pattern; however, it can radiate down the thighs in a nondermatomal pattern. Lumbosacral radiculopathy or radicular pain is low back pain that travels into one or both lower extremities along a dermatomal distribution. Referred pain is pain that spreads to a region remote from sources but in nondermatomal fashion. Low back pain is the fifth most common chief complaint. US annual and lifetime prevalence of low back pain is 10–30% and 65–80%, respectively. Acute = <6 weeks, subacute = 6–12 weeks, chronic >12 weeks. Oftentimes, multidisciplinary approach to treatment is most effective (i.e., medical, psychological, physical, interventional management).
- Type
- Chapter
- Information
- Cambridge Handbook of Pain Medicine , pp. 95 - 106Publisher: Cambridge University PressPrint publication year: 2023
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