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Chronic lower back pain in adults - Essay Example

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Incurrence of chronic diseases has been found to be increasing these days. These diseases affect the patient at different levels by interfering with various aspects of patient’s life and well being. One major disease among these is Chronic Low Back pain…
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Chronic lower back pain in adults
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Download file to see previous pages Others classify frequently recurring back pain as chronic pain since it intermittently affects an individual over a long period (Andrerson ,1999, p.583)”. There are several factors which are associated with chronic lower back pain. The biological, environmental, social and cultural factors which are associated with this medical condition have been well understood and researched upon. An understanding on the factors that are associated with chronic lower back pain is very important to have a sustainable approach towards the management of the medical situation. It must be understood here that the complex interconnections of these factors results in patient specific diagnosis. To manage these medical scenarios, a patient specific approach would be needed. Thus, it is important to have thorough understanding over the factors which are associated with low back pain. The objective of this essay is to analyze the psychological, environmental and social factors which are associated with chronic low back pain. Psychological factors It has been confirmed by several researchers that psychological factors play a major role in the sustenance of chronic lower back pain. Along with this, there are psychological factors which are associated with the development of pain as well. Depression is a psychological state which has been proved to have direct connection with chronic back pain (Maloney & McIntosh, 2001). Patients of stress and anxiety develop back pain in case of lack of effective coping skills. There are evidences which prove that these states of mind directly lead to back pain. More importantly, patients who have already developed chronic back pain and have psychological issues will have problems in managing and adapting to the pain. Adapting to the changing situations created by the pain and adapting to the pain itself is very important in the management of chronic back pain. Thus, psychological factors will acutely increase the pain (Maloney & McIntosh, 2001).It is an interconnected process which promotes mutually. In other words, psychological disorders cause pain and pain causes psychological disorders. Crombez, Vlaeyen, Heuts & Lysens (1999) have confirmed that the pain related fear causes more disability than the actual pain in the case of chronic back pain. When the patient gets chronic low back pain, it affects the life style of the patient. The movement and quality of life will be largely affected. The peripheral effect of the medical condition is that it not only affects the patients, but also the quality of life of the relatives of the patients. Leeuw , Goossens , Linton , Crombez, Boersma & Vlaeyen (2007) have opined that patients with chronic pain will tend to avoid activities which they perceive as causative of further pain and injury. This state of inactivity will result in the reduced or non-use of the injured parts of the body. This further reduces the physical level activity of the individual (Verbunt , Seelen , Vlaeyen, van de Heijden, Heuts, Pons & Knottnerus, 2003). In the case of chronic low back pain, this will further contribute to the pain experience. However, there are studies which have contradicted this observation. Verbunt, Westerterp, van der Heijden, Seelen, Vlaeyen and Knottnerus (2001) have observed that there was there was no difference in the energy expenditure of patients of chronic low back pain in comparison with control population. Hasenbring , Hallner and Klasen (2001) have opined that the inactivity due to the perceived pain ...Download file to see next pagesRead More
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