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Thursday, November 25

More Causes of Back Pain (1)

Fibromyalgia

Fibromyalgia is a syndrome characterized by achy pain, tenderness, and stiffness in muscles and areas where tendons insert into bones, especially in the upper back and neck. Pain often worsens with inactivity and can be improved with movement (Mayo Clinic, 1997; University of Washington Department of Orthopaedics and Sports Medicine, 2002).

Ankylosing Spondylitis

Ankylosing Spondylitis is a form of arthritis initially causing pain and stiffness in the joints of the spine, followed by a fusing together (growing together) of these joints, limiting back movement (University of Washington Department of Orthopaedics and Sports Medicine, 2002). This is an uncommon type of back problem that typically affects young men ( Mayo Clinic, 1997).

Spinal Stenosis

Spinal stenosis involves a narrowing of the spinal canal, which can develop because of a congenital defect or from osteoarthritis. As discs are worn and vertebrae and soft tissue are pushed into the spinal canal, nerves are compressed (Mayo Clinic, 1997). This nerve compression causes back pain, and can also cause numbness, pain, and weakness in the legs. The most common sign of spinal stenosis is pain that worsens when walking and subsides when sitting down (University of Washington Department of Orthopaedics and Sports Medicine, 2002).

Rheumatoid disorders

Rheumatic disorders that create acute and chronic inflammation, muscle soreness and stiffness, and pain in the joints and associated structures (Tabers, 1997), such as rheumatoid arthritis and Polymyalgia Rheumatica (PMR) commonly cause back and neck pain problems.

Paget’s Disease

Paget’s disease is a disorder in which calcium spreads unevenly in the bones. The bones most commonly affected are those in the lower back, pelvis, tailbone, skull, and long bones of the legs. Though back pain may be a symptom, Paget’s disease often has no obvious symptoms, and is detected during an x-ray or bone scan done for other reasons (University of Washington Department of Orthopaedics and Sports Medicine, 2002).

Kyphosis (curvature of the spine)

Kyphosis or curvature of the spine may develop for several reasons:

• Slouching and poor posture in early life can stretch spinal ligaments, increasing the natural curvature of the spine. This usually develops in adolescence, and can be improved with exercises and improved posture - children often outgrow the problem.

• In later life, osteoporosis may cause the development of a rounded (curved) spine often called stooped or a dowager’s hump (American Academy of Orthopaedic Surgeons, 2000a).

Source: Health Education Rural Outreach (HERO) is a cooperative effort between Texas Cooperative Extension & Texas A&M University System Health Science Center School of Rural Public Health.Editors: Carol A. Rice, Ph.D., RN & Janet M. Pollard, MPH

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