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Mechanical low back pain (LBP) remains the second most common symptom-related reason for seeing a physician in the United States.Of the US population, 85% will experience an episode of mechanical LBP at some point during their lifetime.Smoking in males was linked with an increased risk of first-time nonsurgical hospitalization and second-time hospitalization for surgical treatment.Similarly, a study by Yang and Haldeman, derived from the 2009-2012 National Health Interview Survey of the civilian US population, indicated that risk factors for LBP include current or previous smoking, current or previous alcohol use, lack of sleep, obesity, and lack of leisure-time physical activity.The authors found that 119 females and 254 males had been hospitalized at least once because of LBP or sciatica.Females who were overweight had an increased risk of second-time hospitalization and surgery.Fortunately, the LBP resolves for the vast majority within 2-4 weeks.
The physiatrist may have the best functional understanding of all specialists in the treatment and management of mechanical LBP.
The lumbar spine position most at risk for producing LBP is forward flexion (bent forward), rotation (trunk twisted), and attempting to lift a heavy object with out-stretched hands.
Axial loading of short duration is resisted by annular collagen fibers in the disk.
Examining journal articles published between 19, they identified 8 high-quality reports (6 prospective cohort and 2 case-control studies).
While 1 of the cohort studies reported a link between sitting at work and the development of LBP, the other investigations did not find a significant connection between a sedentary lifestyle and LBP.
Lambeek et al assessed the efficacy of an integrated care program for chronic LBP against that of a more conventional care program, as a means of helping patients with this condition return to work.