Nonorganic back pain

Like headache, back pain is a symptom of an underlying functional, organic or psychological disorder.

5 Preoccupation with organic causation of symptoms may lead to serious errors in the assessment of patients with back pain. Any vulnerable aching area of the body is subject to aggravation by emotional factors.

Depressed patients are generally less demonstrative than patients with extreme anxiety and conversion disorders and malingerers, and it is easier to overlook the non-organic basis for their problem.

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Fig. 33.12 Important primary malignancies to the spine. Note the difference between sclerotic and osteolytic metastases; multiple myeloma also causes osteoporotic lesions

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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