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Low Back Pain Case Study

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Low Back Pain Case Study
This 29 years old patient’s main complaint is low back pain. Alex’s low back problem initiated 4 years ago and it has been bothering him since then. Low back pain is pain, muscle tension, or stiffness localised below the costal margin and above the inferior gluteal folds, with or without leg pain and is defined as chronic when it persists for 12 weeks or more (Chou, 2011).
Low back pain should be considered a symptom that is rarely attributable to a specific disease or pathologic lesion (Seller and Symons, 2012). It is most often caused by mechanical impact to include postural backache, acute lumbosacral strain, degenerative lumbosacral arthritis. Other causes include sciatica, lumbar spinal stenosis and chronic low back pain. Non-specific …show more content…
Evaluation and treatment of hypertriglyceridemia: an endocrine society clinical practice guideline. J. Clin. Endocrinol. Metab. 97: 2969–89.
Chou R (2011) Low back pain (chronic). American family physician. 84: 437.
Drew BS, Dixon AF, Dixon JB (2007) Obesity management: Update on orlistat. Vasc Health Risk Manag. 3: 817–821.
Global Health Observatory (2008) [Online] Available at http://www.who.int/gho/ncd/risk_factors/obesity_text/en/ Accessed 10/12/13

Health Survey for England 2011 (2011). Health, social care and lifestyles. Summary of key findings. University College London.

Hershkovich O, Friedlander A, Gordon B, Arzi H, Derazne E, Tzur D, Shamis A, Afek A (2013) Associations of Body Mass Index and Body Height With Low Back Pain in 829,791 Adolescents. American Journal of Epidemiology. 178:603-609.
Medscape (rev. 05/11/13) Hypertriglyceridemia. [Online] Available at http://emedicine.medscape.com/article/126568-overview Accessed 10/12/13
National Institute for Health and Clinical Excellence (2009) Low back pain: Early management of persistent non-specific low back pain. [Online] Available at http://publications.nice.org.uk/low-back-pain-cg88 Accessed …show more content…
J Pak Med Assoc. 63:688-90.
Shiri R, Karppinem J, Leino-arias P, Solovieva S, Viikari-Juntura E (2009) The Association Between Obesity and Low Back Pain: A Meta-Analysis. American Journal of Epidemiology.171:135-154
Shiri R, Solovieva S, Husgafvel-Pursiainen K, Telama R, Yang X, Viikari J, Raitakari OT, Viikari-Juntura E (2013). The role of obesity and physical activity in non-specific and radiating low back pain: The Young Finns study. Seminars in Arthritis and Rheumatism. 42:640–650
Seller RH, Symons AB (2012). Differential Diagnosis of Common Complaints (6th edition). Philadelphia: Elsevier Saunders.
Schneider S, Lipinski S, Schiltenwolf M (2006) Occupations associated with a high risk of self-reported back pain: representative outcomes of a back pain prevalence study in the Federal Republic of Germany. Eur Spine J.15: 821–833.
Patient.co.uk (rev.11/12/2009) Lumbar spine stenosis. [Online] Available at http://www.patient.co.uk/doctor/lumbar-spinal-stenosis Accessed 10/12/13
Webmd.com (rev. 09/12/10) High Triglycerides – Overview. [Online] Available at http://www.webmd.com/cholesterol-management/tc/high-triglycerides-overview Accessed
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