When does the prevalence of low back pain increase?

When does the prevalence of low back pain increase?

The prevalence rate for children and adolescents is lower than that seen in adults but is rising.2,3 Prevalence increases and peaks between the ages of 35 and 55.4 As the world population ages, low back pain will increase substantially due to the deterioration of the intervertebral discs in older people.

What can be done about low back pain?

At present low back pain is treated mainly with analgesics. The causes of lower back pain are rarely addressed. Alternative treatments include physical therapy, rehabilitation and spinal manipulation. Disc surgery remains the last option when all other strategies have failed, but the outcomes are disappointing.9

When does pain go away after back surgery?

The worst pain is generally over by 4 weeks after surgery. Pain is likely to continue to decrease gradually, but some patients continue to have pain 3 to 6 months after surgery. See Getting Adequate Pain Control After Back Surgery.

How does low back pain affect the economy?

Low back pain is the leading cause of activity limitation and work absence throughout much of the world, imposing a high economic burden on individuals, families, communities, industry, and governments.2,4Several studies have been performed in Europe to evaluate the social and economic impact of low back pain.

When to have surgery for lower back pain?

When the patient has the right indications, low back surgery to stop the motion at a painful motion segment and remove the pain generator should reduce the patient’s lower back pain.

When to consider lumbar decompression for low back pain?

Once a patient gets to the point that he or she can no longer adequately function because of the low back pain, lumbar decompression with or without spine fusion may be recommended to help increase the individual’s activity tolerance and quality of life.

How is a laminectomy done for lower back pain?

Laminectomy removes part of the layer of the bone or soft tissue that is compressing a nerve or multiple nerve roots. A laminectomy will typically be performed for someone with leg pain and/or weakness from spinal stenosis caused by changes in the facet joints, discs, or bone spurs.

Are there alternatives to fusion surgery for low back pain?

Tumors and infections are also treated with fusion surgery, but these conditions are far less common. Some newer surgical options that are being used for some cases of low back pain include: Lumbar artificial disc. For some patients, disc replacement is a potential alternative to fusion surgery for symptomatic degenerative disc disease.