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Back pain: what is happening when it becomes chronic?

Authors
Journal
Clinical Chiropractic
1479-2354
Publisher
Elsevier
Publication Date
Volume
12
Issue
1
Identifiers
DOI: 10.1016/j.clch.2009.03.001
Keywords
  • Chronicity
  • Back Pain
  • Fear Avoidance
  • Motor Control
  • Limbic System
  • Central Sensitisation
  • Genetic
Disciplines
  • Biology
  • Medicine
  • Psychology

Abstract

Summary In the absence of pathology most back pain settles quickly; however, for a significant minority of patients, the symptoms and disability it causes endure, often for a protracted time. It is not believed that this ongoing pain is related to persisting tissue damage but is rather a consequence of inappropriate adaptions to the original pain or predisposing factors within the individuals. This paper reviews the available evidence for the role of mechanical, neurological, psychological, social and genetic factors surrounding chronicity in back pain.

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