Category:Incomplete explanations

The first thing is to make a clear diagnosis Joint N-11 of the pain. In non-specific back problems the source may not be found but various diagnoses have to be ruled out, including tumours, infections, fractures, ankylosing spondylitis or other arthritic diseases. Reassessment of the potential diagnosis should be kept in mind as time progresses, and if a specific diagnosis is suspected at any time then investigations should be requested. Nerve root compression, often referred to as sciatica, can cause radicular pain in the leg and cauda equina syndrome can cause very severe pain and important symptoms. These conditions need surgical consultation.

It has been typically classified as acute, sub-acute and chronic. Acute back pain is said to be pain of a duration of less than six weeks, while sub-acute pain is said to continue between six and twelve weeks. Over twelve weeks the back pain is said to be chronic although this classification may be too rigid to reflect the reality of the incidence patterns of low back problems. Many people's symptoms vary significantly with more and less acute episodes over a long period of time.

About one third of the UK population are estimated to be affected each year and of these people about twenty percent consult their general practitioner about their pain. Back problem was initially viewed as mostly getting better in six weeks but studies now show than 62% of people still have some back pain one year after their episode started. And importantly, 16% of those who were unable to work with their back pain initially are still unable to do so by one year later. Disability and pain reduce quickly during the first month after back pain incidence but little more improvement occurs by the third month.

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