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Chronic back pain has been and continues to be a major cause of
distress (both to people with persistent pain and their significant
others), disability, work loss, and a huge cost to society.
Moreover, with the aging population, it is becoming even more
prevalent and as a consequence is having an escalating impact upon
the healthcare systems and society as a whole worldwide. A
significant issue concerns understanding why, although the majority
of people with acute back symptoms recover in a reasonable time, a
significant minority evolve into patients with chronic pain and
prolonged pain-related disability. Understanding the variables that
contribute to chronicity could serve as a basis for early
intervention to prevent the downward spiral. In the past 15 years,
psychological and psychobiological mechanisms have been identified
as important risk factors in back pain, leading to the development
of early screending methods (Yellow Flag diagnostics) and new
psychosocial interventions. These work by closely targeting
treatment modalities to patients' needs. However, many aspects of
how acute pain becomes chronic pain remain unexplained. Recent
neurobiological work investigating genetic, neurophysiological, and
biomechanical processes has uncovererd important mechanisms
involved in chronic and acute back pain. From Acute to Chronic Back
Pain examines the risk factors and mechanisms involved in the
transition from acute to chronic back pain. It integrates genetic,
biomechnanical neurobiological, psychophysiological, psychosocial,
and socieconomic risk factors. Moreover, the text examines advances
in treatment approaches based on evidence from published
studies-ranging from prevention of disability to pharmacological,
psychological, and rehabilitative strategies and methods. Broad in
scope, and with contributions from leading authorities in their
respective fields, this book is a valuable and comprehensive work
for the many specialities involved with back pain - including those
in the fields of clinical and health psychology, physiology,
epidemiology, and pain.
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