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Low Back Pain

Related Terms

Low Back Syndrome
Lumbago
Lumbosacral Pain

Specialists

Chiropractor
Family Practice Physician
Internal Medicine Physician
Neurologist
Occupational Medicine Physician
Orthopedic (Orthopaedic) Surgeon
Physiatrist
Physical Therapist
Preventative Medicine Specialist
Rheumatologist
Sports Medicine Internist

Comorbid Conditions

Congenital vertebral fusion
Depression
Leg length difference greater than one inch
Obesity
Osteoarthritis
Osteoporosis
Rheumatoid arthritis
Scoliosis
Smoking
Spondylolisthesis
Stress

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Factors include occupation, age, and conditioning of the individual. Compliance with treatment and recommended home care will influence the duration. Any conditions affecting the spine could prolong recovery. The individual's need and ability to obtain secondary gains from the pain could lengthen disability time. Psychological assessment is crucial in cases with prolonged disability and no obvious specific spinal disorder.

Duration Trends from Reference Data

DURATION TRENDS

ICD-9-CM: 724.2

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
21539	46	0	219	0.2%	1.6%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	6	14	29	65	155

DURATION TRENDS

ICD-9-CM: 724.4

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
3446	68	0	306	0.2%	4.7%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	10	28	54	91	180

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

	ICD-9-CM:
	724.2 -	Lumbago; Low Back Pain; Low Back Syndrome; Lumbalgia
	724.4 -	Thoracic or Lumbosacral Neuropathy and Radiculopathy, Unspecified; Radicular Syndrome of Lower Limbs
	724.5 -	Backache, Unspecified; Vertebrogenic (Pain) Syndrome NOS

Return to Work (Restrictions / Accommodations)

Heavy or unassisted lifting; repetitive rotation of the back; carrying, pushing, or pulling heavy objects; vibrational stresses; overhead work; and prolonged sitting are to be avoided early on. Prolonged standing should be evaluated for aggravation of the pain. Rest periods are an important part of both treatment and prevention. Some health care providers may recommend wearing a lumbosacral support. Use of medications such as pain relievers (analgesics) and muscle relaxants will necessitate review of safety issues and drug-testing policies. Recurrence of back pain is common, and education regarding safer work practices for lifting, carrying, pushing, pulling, and sitting can help decrease or prevent recurrence.

Source: Medical Disability Advisor

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