Low back pain/prolapsed lumbar intervertebral disc
- PMID: 2145614
Low back pain/prolapsed lumbar intervertebral disc
Abstract
Low back pain is common throughout the adult years in both men and women; first episodes most frequently occur among people in their 20s and 30s. Prolapsed lumbar disc most often affects individuals in the age range 25-45 years; prolapses occur infrequently in persons below 20 years or over 65 years. Major risk factors for low back pain in general and for prolapsed disc specifically include frequent lifting of objects weighing 25 pounds or more, especially if the objects are lifted with the arms extended and with the knees straight and if the lifting is done while the body is twisted; exposure to whole-body vibration, including driving motor vehicles; cigarette smoking; and, for prolapsed lumbar disc, narrow lumbar vertebral canals. Possible risk factors for which the evidence is weak or inconsistent include frequent stretching, reaching, pulling, and pushing on the job; sedentary occupations; jobs in which workers stay in one position for long periods of time; recent employment in a physically demanding job; jobs requiring frequent twisting without lifting; tallness; heredity; extent of forward flexibility in the lumbar area; lack of physical fitness; pregnancies; psychological symptoms; and frequent participation in bowling. The methods suggested to date with the greatest potential for prevention include modification of jobs so as to reduce exposure to known occupational risk factors, and careful selection of workers by such means as strength testing for the particular job for which they are to be employed.
Similar articles
-
An epidemiologic study of lifting and twisting on the job and risk for acute prolapsed lumbar intervertebral disc.J Orthop Res. 1984;2(1):61-6. doi: 10.1002/jor.1100020110. J Orthop Res. 1984. PMID: 6491800
-
Low-back pain in industry. An old problem revisited.J Occup Med. 1984 Jul;26(7):517-24. J Occup Med. 1984. PMID: 6235333 Review.
-
Recurrent disc herniation and long-term back pain after primary lumbar discectomy: review of outcomes reported for limited versus aggressive disc removal.Neurosurgery. 2009 Feb;64(2):338-44; discussion 344-5. doi: 10.1227/01.NEU.0000337574.58662.E2. Neurosurgery. 2009. PMID: 19190461 Review.
-
The effects of anthropometrics, lifting strength, and physical activities in disc degeneration.Spine (Phila Pa 1976). 2007 Jun 1;32(13):1406-13. doi: 10.1097/BRS.0b013e31806011fa. Spine (Phila Pa 1976). 2007. PMID: 17545908
-
Epidemiology of radiculopathies.Adv Neurol. 1978;19:385-98. Adv Neurol. 1978. PMID: 369327 Review.
Cited by
-
Managing Low Back Pain in Primary Care.Curr Health Sci J. 2020 Oct-Dec;46(4):396-404. doi: 10.12865/CHSJ.46.04.11. Epub 2020 Dec 31. Curr Health Sci J. 2020. PMID: 33717515 Free PMC article.
-
Intervertebral Disc Diseases PART 2: A Review of the Current Diagnostic and Treatment Strategies for Intervertebral Disc Disease.Int J Mol Sci. 2020 Mar 20;21(6):2135. doi: 10.3390/ijms21062135. Int J Mol Sci. 2020. PMID: 32244936 Free PMC article. Review.
-
Dynamic motion characteristics of the lower lumbar spine: implication to lumbar pathology and surgical treatment.Eur Spine J. 2014 Nov;23(11):2350-8. doi: 10.1007/s00586-014-3316-9. Epub 2014 Apr 29. Eur Spine J. 2014. PMID: 24777671
-
The effect of lumbar support belts on isometric force production during a simulated lift.J Occup Rehabil. 1995 Sep;5(3):131-43. doi: 10.1007/BF02109954. J Occup Rehabil. 1995. PMID: 24234659
-
Difference in Energy Metabolism of Annulus Fibrosus and Nucleus Pulposus Cells of the Intervertebral Disc.Cell Mol Bioeng. 2011 Jun 1;4(2):302-310. doi: 10.1007/s12195-011-0164-0. Cell Mol Bioeng. 2011. PMID: 21625336 Free PMC article.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Medical