114988 - Effective management of low back pain with a neuropathic component
- : Online
A Category 2, 2 hour online case study based program on effective management of low back pain with a neuropathic componentRelevance to General Practice
Low back pain is defined as pain, muscle tension or stiffness localised between the costal margin and the inferior gluteal folds, with/without leg pain. The NeuPSIG (Special Interest Group on Neuropathic Pain) defines neuropathic pain as “pain arising as a direct consequence of a lesion or disease affecting the somatosensory system”. In contrast, nociceptive pain arises from physiological activation of nociceptors by potential or actual tissue injury and causing ’non-specific’ back pain. Low back pain may involve both a neuropathic and nociceptive component. Radicular pain (’sciatica’) is the most commonly recognised neuropathic syndrome in low back pain of non-malignant pathology. It is caused by mechanisms such as nerve root compression by a herniated disc, spinal stenosis or spondylolisthesis. A neuropathic element may also be present in patients who otherwise appear to have non-specific mechanical back pain or post-operative persistent pain.