An overview of the management of back pain

Autor: N. Padayachee, M. Lundie, N. Shellack
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: South African Family Practice, Vol 60, Iss 4, Pp 14-21 (2018)
Druh dokumentu: article
ISSN: 2078-6190
2078-6204
DOI: 10.4102/safp.v60i4.4897
Popis: Back pain affects people across any socio-economic category and is a leading cause of absenteeism and decreased productivity in the workplace. This symptomatic condition is caused by multiple factors, making it difficult to manage. With a small proportion of people experiencing back pain due to pathological reasons, in the larger majority, back pain is due to a mechanical cause. Taking a complete history that includes identifying risk factors such as depression, poor posture, lack of exercise, older age and a physically demanding job is crucial to the effective management of the condition. Behavioural, psychological and social factors of the patient should form the backbone for treatment of back pain. Non-pharmacological management such as exercise, spinal manipulation and acupuncture should be the first-line treatment; however, if this provides poor results then pharmacological measures such as the use of non-steroidal anti-inflammatory drugs (NSAIDS) like ibuprofen or muscle relaxants such as cyclobenzaprine should be considered.
Databáze: Directory of Open Access Journals