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1 results

  • Chapter 15 - Chronic Neuraxial Spine Pain

  • from Part IV - Spine
  • Edited by Omar Viswanath, Creighton University, Omaha, Ivan Urits, Southcoast Brain & Spine Center, Wareham
  • Book:
    Cambridge Handbook of Pain Medicine
    Published online:
    01 December 2023
    Print publication:
    14 December 2023, pp 95-106

  • 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).