eMedicine Specialties > Physical Medicine and Rehabilitation > Lumbar Spine Disorders
Mechanical Low Back Pain: Multimedia
Updated: Nov 19, 2009
Multimedia
![]() | Media file 1: Magnetic resonance image of the lumbar spine. This image demonstrates a herniated nucleus pulposus at multiple levels. |
![]() | Media file 2: Diskogram showing examples of an intact disk and a disrupted disk at the lumbar level. |
![]() | Media file 3: Sagittal magnetic resonance image showing loss of intervertebral disk height at L5/S1. Herniations of the nucleus pulposus are noted at L4/5 and L5/S1. |
![]() | Media file 4: Degenerative changes of the lumbar spine, including decreased signal intensity and disk bulging at the L-3/4, L-4/5 and L-5/S-1 disks. |
![]() | Media file 5: The process of disk degeneration following internal disk disruption and herniation. |
![]() | Media file 6: The various forces placed on the disks of the lumbar spine that can result in degenerative changes. |
More on Mechanical Low Back Pain |
| Overview: Mechanical Low Back Pain |
| Differential Diagnoses & Workup: Mechanical Low Back Pain |
| Treatment & Medication: Mechanical Low Back Pain |
| Follow-up: Mechanical Low Back Pain |
Multimedia: Mechanical Low Back Pain |
| References |
| Further Reading |
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References
Institute for Clinical Systems Improvement. Adult low back pain. Bloomington, Minn: Institute for Clinical Systems Improvement;. Sept 2005.
National Guideline Clearinghouse. Listing of Guidelines for Low Back Pain. Accessed December 29, 2005. Available at: http://www.guidelines.gov. [Full Text].
Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain. Phys Ther. Oct 2001;81(10):1641-74. [Medline]. [Full Text].
Bigos SJ, Boyer OR, Braen GR. Acute Low Back Problems in Adults. Clinical Practice Guideline, Quick Reference Guide Number 14. Public Health Agency, Agency for Health Care Policy and Research. Rockville, Md:. Department of Health and Human Services;1994.
Bone and Joint Decade. US Bone and Joint Decade Web site. Accessed December 28, 2005. Available at: http://www.usbjd.org/index.cfm. [Full Text].
Datta S, Lee M, Falco FJ, et al. Systematic assessment of diagnostic accuracy and therapeutic utility of lumbar facet joint interventions. Pain Physician. Mar-Apr 2009;12(2):437-60. [Medline]. [Full Text].
Rupert MP, Lee M, Manchikanti L, et al. Evaluation of sacroiliac joint interventions: a systematic appraisal of the literature. Pain Physician. Mar-Apr 2009;12(2):399-418. [Medline].
Chen SM, Liu MF, Cook J, et al. Sedentary lifestyle as a risk factor for low back pain: a systematic review. Int Arch Occup Environ Health. Mar 20 2009;[Medline].
Cocchiarella L, Andersson GBJ. AMA Guides to the Evaluation of Permanent Impairment. 5th ed. 2000.
[Best Evidence] Sertpoyraz F, Eyigor S, Karapolat H, et al. Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study. Clin Rehabil. Mar 2009;23(3):238-47. [Medline].
Long A, Donelson R, Fung T. Does it matter which exercise? A randomized control trial of exercise for low back pain. Spine. Dec 1 2004;29(23):2593-602. [Medline].
[Best Evidence] Juni P, Battaglia M, Nuesch E, et al. A randomised controlled trial of spinal manipulative therapy in acute low back pain. Ann Rheum Dis. Sep 2009;68(9):1420-7. [Medline].
Epter RS, Helm S, Hayek SM, et al. Systematic review of percutaneous adhesiolysis and management of chronic low back pain in post lumbar surgery syndrome. Pain Physician. Mar-Apr 2009;12(2):361-378. [Medline].
Veresciagina K, Ambrozaitis KV, Spakauskas B. The measurements of health-related quality-of-life and pain assessment in the preoperative patients with low back pain. Medicina (Kaunas). 2009;45(2):111-22. [Medline].
[Guideline] Chou R, Loeser JD, Owens DK, et al. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine. May 1 2009;34(10):1066-77. [Medline].
van Tulder MW, Scholten RJ, Koes BW, et al. Non-steroidal anti-inflammatory drugs for low back pain. Cochrane Database Syst Rev. 2000;CD000396.
Adams MA, May S, Freeman BJ, et al. Effects of backward bending on lumbar intervertebral discs. Relevance to physical therapy treatments for low back pain. Spine. Feb 15 2000;25(4):431-7; discussion 438. [Medline].
Atkinson JH, Slater MA, Wahlgren DR, et al. Effects of noradrenergic and serotonergic antidepressants on chronic low back pain intensity. Pain. Nov 1999;83(2):137-45. [Medline].
Batt ME, Todd C. Five facts and five concepts for rehabilitation of mechanical low back pain. Br J Sports Med. Aug 2000;34(4):261. [Medline].
Borenstein D. Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain. Curr Opin Rheumatol. Mar 1996;8(2):124-9. [Medline].
Brigham CR, Babitsky S, Mangraviti JJ. The Independent Medical Evaluation Report: A Step-by-Step Guide with Models. SEAK Inc;1996.
Cherkin DC, Wheeler KJ, Barlow W, et al. Medication use for low back pain in primary care. Spine. Mar 1 1998;23(5):607-14. [Medline].
Chrubasik S, Eisenberg E, Balan E, et al. Treatment of low back pain exacerbations with willow bark extract: a randomized double-blind study. Am J Med. Jul 2000;109(1):9-14. [Medline].
Consumer Reports. Back pain: the best treatment is surprisingly simple. Consumer Reports;1995:620-621.
Cox ME, Asselin S, Gracovetsky SA, et al. Relationship between functional evaluation measures and self-assessment in nonacute low back pain. Spine. Jul 15 2000;25(14):1817-26. [Medline].
Derby R, Bogduk N, Anat D, et al. Precision percutaneous blocking procedures for localizing spine pain. Part 1: the posterior lumbar compartment. Pain Digest. 1993;3:89-100.
Deyo RA, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain?. JAMA. Aug 12 1992;268(6):760-5. [Medline].
Di Fabio RP, Mackey G, Holte JB. Physical therapy outcomes for patients receiving worker''s compensation following treatment for herniated lumbar disc and mechanical low back pain syndrome. J Orthop Sports Phys Ther. Mar 1996;23(3):180-7. [Medline].
Dishman JD, Bulbulian R. Spinal reflex attenuation associated with spinal manipulation [In Process Citation]. Spine. Oct 1 2000;25(19):2519-25. [Medline].
Drugs for pain. Med Lett Drugs Ther. Aug 21 2000;42(1085):73-8. [Medline].
Duance VC, Crean JK, Sims TJ, et al. Changes in collagen cross-linking in degenerative disc disease and scoliosis. Spine. Dec 1 1998;23(23):2545-51. [Medline].
Ferguson SA, Marras WS, Gupta P. Longitudinal quantitative measures of the natural course of low back pain recovery. Spine. Aug 1 2000;25(15):1950-6. [Medline].
Frymoyer JW. Back pain and sciatica. N Engl J Med. Feb 4 1988;318(5):291-300. [Medline].
Furlan AD, Brosseau L, Welch V, Wong J. Massage for low back pain. Cochrane Database Syst Rev. 2000;CD001929.
Guidelines for the assessment and management of chronic pain. WMJ. 2004;103(3):13-42. [Medline].
Handa N, Yamamoto H, Tani T, et al. The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain. J Orthop Sci. 2000;5(3):210-6. [Medline].
Hanson P, Qvortrup K, Magnusson SP. The superficial annulus fibrosus ligament. an incipient description of a separate ligament between the lumbar anterior longitudinal ligament and the intervertebral disc [In Process Citation]. Cells Tissues Organs. 2000;167(4):259-65. [Medline].
Harrington JF, Messier AA, Bereiter D, et al. Herniated lumbar disc material as a source of free glutamate available to affect pain signals through the dorsal root ganglion. Spine. Apr 15 2000;25(8):929-36. [Medline].
Hart LG, Deyo RA, Cherkin DC. Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey. Spine. Jan 1 1995;20(1):11-9. [Medline].
Hoogendoorn WE, van Poppel MN, Bongers PM, et al. Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine. Aug 15 2000;25(16):2114-25. [Medline].
McMorland G, Suter E. Chiropractic management of mechanical neck and low-back pain: a retrospective, outcome-based analysis. J Manipulative Physiol Ther. Jun 2000;23(5):307-11. [Medline].
North American Spine Society. Orthopedic Knowledge Update: Spine. NASS/AAOS;1997:113-119.
Pustaver MR. Mechanical low back pain: etiology and conservative management. J Manipulative Physiol Ther. Jul-Aug 1994;17(6):376-84. [Medline].
Rungee JL. Low back pain during pregnancy. Orthopedics. Dec 1993;16(12):1339-44. [Medline].
Sizer PS Jr, Matthijs O, Phelps V. Influence of age on the development of pathology. Curr Rev Pain. 2000;4(5):362-73. [Medline].
Solomonow M, He Zhou B, Baratta RV, et al. Biexponential recovery model of lumbar viscoelastic laxity and reflexive muscular activity after prolonged cyclic loading. Clin Biomech (Bristol, Avon). Mar 2000;15(3):167-75. [Medline].
Spengler D. Herniated nucleus pulposus surgery: effect of compensation. The Back Letter. 1997;vol 12.
Spitzer WO, Skovron ML, Salmi LR, et al. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining "whiplash" and its management. Spine. Apr 15 1995;20(8 Suppl):1S-73S. [Medline].
Von Feldt JM, Ehrlich GE. Pharmacologic therapies. Phys Med Rehabil Clin N Am. May 1998;9(2):473-87, ix. [Medline].
Waddell G, McCulloch JA, Kummel E, Venner RM. Nonorganic physical signs in low-back pain. Spine. Mar-Apr 1980;5(2):117-25. [Medline].
Wilson L, Hall H, McIntosh G, Melles T. Intertester reliability of a low back pain classification system. Spine. Feb 1 1999;24(3):248-54. [Medline].
Further Reading
Related eMedicine topics:
Back Pain, Mechanical
Cauda Equina
Cauda Equina and Conus Medullaris Syndromes
Cauda Equina Syndrome [Emergency Medicine]
Cauda Equina Syndrome [Orthopedic Surgery]
Cervical Discogenic Pain Syndrome
Common Pregnancy Complaints and Questions
Degenerative Lumbar Disc Disease in the Mature Athlete
Herniated Nucleus Pulposus
Lumbar Disk Problems in the Athlete
Lumbar (Intervertebral) Disk Disorders
Lumbosacral Discogenic Pain Syndrome
Myofascial Pain
Pathophysiology of Chronic Back Pain
Therapeutic Injections for Pain Management
Guidelines:
Low Back Disorders
Primary Care Interventions to Prevent Low Back Pain in Adults: Recommendation Statement
Clinical studies:
Traditional Acupuncture and Myofascial Trigger Point Dry Needling and Acupressure for Chronic Low Back Pain
Keywords
mechanical low back pain, back pain, pain back, lower back pain, low back pain, sciatica, back problems, back injury, back surgery, back pain relief, lower back pain pregnancy, myofascial low back pain, LBP, mechanical LBP, pulled low back, low back sprain, low back strain, lumbar sprain, lumbar strain, discogenic low back pain, diskogenic low back pain, sacroiliac joint sprain, sacroiliac joint strain, back strain, worker's compensation, workman's comp












Multimedia: Mechanical Low Back Pain