Causes for back pain

Sometimes the back muscles just tighten when they are tired and cause pain and this happens due to:

- when the lower back is not on balance even though there is no pain
- Upper back like the rib cage or muscles can be painful due to stress, poor breathing or sitting for too long at the desk in office
- As we get tired, we stoop and the posture changes, this also contribute to lower back pain
- Incorrect and heavy weight lifting causes pain in the back

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All patients with chronic physical pain are not alike and shouldn't be treated the same. That's the basis of this article on somatoform disorders. Somatoform disorders refer to aches and pains that are amplified (blown out of proportion) because of underlying psychologic or emotional distress. Vague complaints of muscle or joint pain, fatigue, stomach problems, numbness and tingling, headaches, and so on are typical physical complaints associated with somatoform disorders.

Over the past twenty years or so, scientists have been able to take a different research approach to the problem of chronic pain. Using studies like Positron Emission Tomography known as PET scans and Functional Magnetic Resonance Imaging (fMRI), magnetoencephalography (MEG) and the more traditional electroencephalgraphy (EEG) has changed how chronic pain is viewed.

Pain that occurs after major trauma like the head injury your sustained that lasts indefinitely is labeled chronic. This type of pain has been the focus of neuroimaging studies for the last two decades. Neuroimaging has opened our eyes to the changes in the brain that accompany chronic pain. Changes that affect the anatomy, biochemistry, and neurochemistry of the nervous system.

Pain that lasts beyond the expected time after an injury or pain that seems to develop for no apparent reason continues to baffle scientists and pain specialists around the world. This type of pain labeled chronic has been the focus of neuroimaging studies for the last two decades. Neuroimaging has opened our eyes to the changes in the brain that accompany chronic pain. Changes that affect the anatomy, biochemistry, and neurochemistry of the nervous system.

Complex regional pain syndrome, usually called CRPS, used to be called reflex sympathetic dystrophy (RSD). Doctors began using CRPS when they found it was a more accurate way of describing the syndrome.

The symptoms of complex regional pain syndrome include:
- a burning pain in the affected area
- skin sensitivity beyond what you would normally expect
- changes in skin temperature, color, or texture of the affected area, different from the other limb
- shiny or sweaty skin

CRPS, complex regional pain syndrome, is a painful disorder that does affect more women than men - more than twice the number. Doctors and researchers don't know why it affects more women, but many illnesses do affect one sex more than another.

Philip M. FInch, Lone Knudsen, and Peter D. Drummond. Reduction of allodynia in patients with complex regional pain syndrome: A double-blinded placebo-controlled trial of topical ketamine. In PAIN. Vol. 146. Pp. 18 to 25.

When people experience a musculoskeletal injury, one that involves muscles or bone, recovery depends on many things ranging from the obvious (treatment) to the not-so-obvious (fear of movement causing pain). While most people who are injured at work are able to return to their position within a reasonable amount of time, up to 20 percent do not recover quickly and live with prolonged pain and disability, resulting in a delayed return to work.

Complex regional pain syndrome is a little understood but very painful syndrome that can begin after a seemingly minor injury. What makes this syndrome even more puzzling is the allodynia, severe pain results from a relatively harmless action, such as brushing lightly against the affected limb. Because it is neuropathic, or nerve pain, it is particularly hard to treat.