Abstract
There is probably no other disease as chronic low back pain (LBP) that has generated a so large amount of literature about, and it is impossible to concentrate all the causes of a so common and diffuse disease. For this reason, we will analyze the most frequent causes as useful as for the main topic of this book, as different causes of LBP generate different treatments. A correct investigation of the correlation between local degenerative changes at the level of the disc and for facet joints and nerves is hard as it’s difficult to obtain complete characterization of the pain (too much variables generating LBP) as well as the possibility to have disc or articular normal samples from a control healthy population. Mice models have been suggested, in a specific population with the secreted protein, acidic, rich in cysteine (SPARC) deficit, this protein being involved in regulating the composition of extracellular matrix. As a consequence, the population of SPARC-null mice usually suffer from an increased disc degeneration, and recent studies suggest the internal disc disruption to be one of the main causes of axial LBP, while no effect has been found about sciatica generation [1].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Millecamps M, Czerminski JT, Mathieu AP, Stone LS (2015) Behavioral signs of axial low back pain and motor impairment correlate with the severity of intervertebral disc degeneration in a mouse model. Spine J 15(12):2524–37
Rubin DI (2007) Epidemiology and risk factors for spine pain. Neurol Clin 25(2):353–371
Mazroa A, Mohammad A (2012) Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380(9859):2163–96
Hoy D, Brooks P, Blyth F (2010) The epidemiology of low back pain. Best Pract Res Clin Rheumatol 24:769–81
Hart LG, Deyo RA, Cherkin DC (1995) Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. National Survey. Spine 20:11–9
Pengel LH, Herbert RD, Maher CG (2003) Acute low back pain: systematic review of its prognosis. BMJ 327:323
Von Korff M, Saunders K (1996) The course of back pain in primary care. Spine 21:2833–7
Jeffries LJ, Milanese SF, Grimmer-Somers KA (2007) Epidemiology of adolescent spinal pain: a systematic overview of the research literature. Spine 32(23):2630–7
Taimela S, Kujala UM, Salminen JJ, Viljanen T (1997) The prevalence of low back pain among children and adolescents: a nationwide, cohort-based questionnaire survey in Finland. Spine 22:1132–1136
Balague F, Troussier B, Salminen JJ (1999) Non-specific low back pain in children and adolescents: risk factors. Eur Spine J 8:429–438
Andersson GBJ (1997) The epidemiology of spinal disorders. In: Frymoyer JW (ed) The adult spine: principles and practice. Lippincott-Raven, Philadelphia, pp 93–141
Webb R, Brammah T, Lunt M et al (2003) Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine 28(11):1195–202
Frilander H, Solovieva S, Mutanen P, Pihlajamäki H, Heliövaara M, Viikari-Juntura E (2015) Role of overweight and obesity in low back disorders among men: a longitudinal study with a life course approach. BMJ Open 5(8):e007805
Manchikanti L, Hirsch JA et al (2009) Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician 12:699–802
Saal JS (2002) General principles of diagnostic testing as related to painful lumbar spine disorders: a critical appraisal of current diagnostic techniques. Spine 27:2538–2545
Devereaux MW (2003) Neck and low back pain. Med Clin North Am 87:643–662
Manchikanti L, Hirsch JA (2015) An update on the management of chronic lumbar discogenic pain. Pain Manag 5(5):373–86
MM Panjabi & co (1990) Clinical biomechanics of the spine, Philadelphia. American Academy of Orthopaedic Surgeons (1981): a glossary on spinal terminology. American Academy of Orthopaedic Surgeons, Chicago, p 34
Boden SD, Frymoyer JW (1997) Segmental stability overview and classification. In: Frymoyer JW (ed) The adult spine: principles and practice, 2nd edn. Lippincott-Raven Publishers, Philadelphia, pp 2137–2155
Nachemson A (1960) Lumbar intradiscal pressure: experimental studies on post-mortem material. Acta Orthop Scand Suppl 43:1–104
Manfrè L, Cartolari R, Trasimeni G, Cristaudo C (2007) Spinal instability — axial loaded imaging of the spine. In: Van Goethem J (ed) Spinal imaging, Springer, pp 211–233
Splendiani A, Ferrari F, Barile A, Gallucci M (2014) Occult neural foraminal stenosis caused by association between disc degeneration and facet joint osteoarthritis: demonstration with dedicated upright MRI system. Radiol Med 119(3):164–174
Kalichman L, Guermazi A, Li L (2010) Facet orientation and tropism: associations with spondylolysis. J Spinal Disord Tech 23(2):101–105
Dong L, Odeleye AO, Jordan-Sciutto KL, Winkelstein BA (2008) Painful facet joint injury induces neuronal stress activation in the DRG: implications for cellular mechanisms of pain. Neurosci Lett 443:90–94
Ishikawa T, Miyagi M, Ohtori S, Aoki Y, Ozawa T, Doya H, Saito T, Moriya H, Takahashi K (2005) Characteristics of sensory DRG neurons innervating the lumbar facet joints in rats. Eur Spine J 14:559–564
Henry JL, Yashpal K, Vernon H, Kim J, Im HJ (2012) Lumbar facet joint compressive injury induces lasting changes in local structure, nociceptive scores and inflammatory mediators in a novel rat model. Pain Res Treat 2012:127636
Igarashi A, Kikuchi S, Konno S, Olmarkerk K (2004) Inflammatory cytokines released from the facet joint tissue in degenerative lumbar spinal disorders. Spine (PhilaPa 1976) 29:2091–2095
Sembrano JN, Polly DW (2009) How often is low back pain not coming from the back? Spine (Phila Pa 1976) 34(1):E27–E32
Cohen SP (2005) Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg 10(5):1440–53
Schwarzer AC, Aprill CN, Bogduk N (1995) The sacroiliac joint in chronic low back pain. Spine 20:31–7
Maigne JY, Aivaliklis A, Pfefer F (1996) Results of sacroiliac joint double block and value of sacroiliac pain provocation tests in 54 patients with low back pain. Spine 21:1889–92
Bernard TN, Cassidy JD (1991) The sacroiliac syndrome. Pathophysiology, diagnosis and management. In: Frymoyer JW (ed) The adult spine: principles and practice. Raven, New York, pp 2107–2130
Laslett M (2008) Evidence-based diagnosis and treatment of the painful sacroiliac joint. J Man Manip Ther 16(3):142–152
Ivanov AA (2009) Lumbar fusion leads to increases in angular motion and stress across sacroiliac joint: a finite element study. Spine 34(5):162–169
Murata Y, Takahashi K, Yamagata M et al (2000) Sensory innervation of the sacroiliac joint in rats. Spine 16:2015–9
Grob KR, Neuhuber WL, Kissling RO (1995) Innervation of the sacroiliac joint in humans. Z Rheumatol 54:117–22
Ikeda R (1991) Innervation of the sacroiliac joint: macroscopic and histological studies. J Nippon Med Sch 58:587–96
Fortin JD, Kissling RO, O’Connor BL, Vilensky JA (1999) Sacroiliac joint innervations and pain. Am J Orthop 28:68–90
Cohen SP, Pain SJ (2005) A comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg 101:1440–53
Ross JS, Robertson JT, Frederickson RC, Petrie JL, Obuchowski N, Modic MT, de-Tribolet N (1996) Association between peridural scar and recurrent radicular pain after lumbar discectomy: magnetic resonance evaluation. Neurosurgery 38:855–863
Jou IM, Tai TW, Tsai CL, Tsai TM, Yung WS, Jung YC (2007) Spinal somato sensory evoked potential to evaluate neurophysiologic changes associated with postlaminotomy fibrosis: an experimental study. Spine (Phila Pa 1976) 32:2111–2118
Cooper RG, Freemont AJ, Hoyland JA, Jenkins JP, West CG, Illingworth KJ, Jayson MI (1996) Herniated intervertebral disc associated periradicular fibrosis and vascular abnormalities occur without inflammatory cell infiltration. Spine (PhilaPa 1976) 20:591–598
Blond S, Mertens P, David R, Roulaud M, Rigoard P (2015) From “mechanical” to “neuropathic” back pain concept in FBSS patients. A systematic review based on factors leading to the chronification of pain (part C). Neurochirurgie 61 Suppl 1:S45–56
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Manfrè, L. (2017). Causes of Chronic Low Back Pain. In: Marcia, S., Saba, L. (eds) Radiofrequency Treatments on the Spine. Springer, Cham. https://doi.org/10.1007/978-3-319-41462-1_3
Download citation
DOI: https://doi.org/10.1007/978-3-319-41462-1_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-41461-4
Online ISBN: 978-3-319-41462-1
eBook Packages: MedicineMedicine (R0)