CHARACTERISTICS OF LUMBAR PAIN
Keywords:pain, lumbar region, disc herniation
Pain in the lumbar region is a common medical problem affecting people of different ages, sex and race. Data shows that pain in the lumbar region is affecting more and more young people, with cases of disc herniation in 12-year-old patients. Pain in the lumbar region can be of different nature - traumatic, neurological, degenerative and psychological. Statistics show that 70-80% of people have had some low back pain at some moment of their life. According to some authors, in 85% of patients with this pain no definitive cause can be identified due to the weak relationship between symptoms and the results of diagnostic images, and others report that cases of lower back pain can be attributed to a specific pain generator, with its own characteristics and different therapeutic options. Depending on the manifestation of the lower back pain, some authors describe low back pain as acute, subacute, recurrent, and chronic. Low back pain is defined by experts as an "epidemic" in the modern world. Data from research in the field show that people with episodes of low back pain often repeat them (24% -33%). Some authors report that lower back pain is often caused by non-pathological functional disorders. Pain is not always related to a certain age and gender – both young and older people, women and men suffer. Epidemiological studies show that the morbidity is about 30%, increasing from the age of 30 onwards to reach a maximum of about 55-64 years. Because of incorrect treatment of acute idiopathic low back pain, incorrect work posture, weak muscles and continuous overloading of the low back can lead to chronic low back pain. The chronicity of the disease leads to the development of degenerative changes in the intervertebral joints and degeneration of the vertebrae. The high frequency of low back pain and the difficult differentiation of their etiology have led to their being called syndrome of low back pain (low back pain). One of the reasons for the distribution of lumbar pain is lifestyle - the lack of physical activity, which leads to detraining of the muscles that support the spine. Diseases of the spine lead to spontaneous pain, tightness, limited movement, deformities and various neurological symptoms. According to the pathophysiological mechanisms that cause it, the pain is nociceptive or neuropathic. Nociceptive pain is local and occurs as a result of activation of nociceptors by damaging stimuli. Neuropathic pain occurs directly as a result of a lesion or disease affecting the somatosensory nervous system. People with pain of lumbar region are grouped into 4 groups according to the therapeutic approach to which they are subjected. Pain in the lumbar region are characterized by different reasons and duration. The variety of causes of lumbar pain are related to a different therapeutic approach. Knowledge of the characterization of lumbar pain allows us to apply adequate therapeutic means, and this will lead to a good response to pain treatment.