Low back pain in Bogotá, Colombia

What is low back pain?

It is the medical term for pain in the lumbar region. It is classified as acute (under 6 weeks), subacute (6 to 12 weeks) and chronic (over 12 weeks). This matters because management changes with how long the pain has lasted.

Why does it become chronic?

Contributing factors include inactivity, excess weight, heavy or very sedentary work, smoking, stress, poor sleep and fear of moving in case it gets worse. Recognizing these factors is part of treatment.

How is chronic low back pain treated?

The cornerstone is guided therapeutic exercise with progressive strengthening and conditioning. It is complemented by medication suited to the type of pain, psychological support when there is emotional impact, and procedures such as nerve blocks or radiofrequency if the painful structure is identified. Surgery is rarely the answer without nerve compression.

Is imaging necessary?

Not routinely. An MRI is ordered with neurological symptoms, warning signs or when a procedure is being considered. Many findings, such as worn discs, also appear in people without pain.

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