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Colegio de Medicos y Cirujanos República de Costa Rica

2014, Number 611

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Rev Med Cos Cen 2014; 71 (611)

Lumbalgia: Causas, diagnóstico y manejo

Chavarría SJ

Language: Spanish
References: 30
Page: 447-454
PDF size: 186.58 Kb.


ABSTRACT

Low back pain is defined as pain localized below the margin of the last rib to the inferior gluteal region, above the inferior gluteal lines with or without pain in the lower limbs. Low back pain is one of the most common causes of disability, with economic and social impact, being a major cause of absenteeism. The 90% of cases are non-specific and the remaining 10% for a specific disease. It gives more in age between 30 and 50 years and the prevalence increases with age. Pain occurs by the action of nociceptive receptors and release of inflammatory substance. Factors such as age, sex, genetics, labor, obesity, physical activity, sport and work influence the genesis of pathology. The diagnosis includes a questioning focused physical examination and use of medical imaging. The approach of low back pain include pharmacologic and nonpharmacologic treatments such as manuals, physical and invasive.


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