Journal of Nippon Medical School: Vol.69 No.6 page.588

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ArticleTitle Mechanism of Intractable Low Back Pain and Neural Blockade

AuthorList Atsuhiro Sakamoto

Affiliation Department of Anesthesiology, Nippon Medical School

Language JA

Volume 69

Issue 6

Year 2002

Page 588-592

Received August 20, 2002

Accepted September 3, 2002

Keywords low back pain, neuropathic pain, neural blockade

Abstract
Low back pain is one of the most prevalent complaints in clinical medicine. Sensations from the axial skeleton and the surrounding tissues are only vaguely somatotopic and are non-specific in quality. The diagnosis of the mechanism or source of low back pain is therefore very challenging. The treatment of low back pain that recurs, persists or intensifies is also formidable, because there has been no evidence of various therapies for chronic back pain. From the prophylactic viewpoint of chronic pain, the most considerable matter is early elimination of severe pain under certain diagnosis. In this article, the mechanisms of passing into the chronic state, especially the development of neuropathic pain, and the utilities of diagnostic and therapeutic neural blockade for low back pain are discussed.

Correspondence to Atsuhiro Sakamoto, Department of Anesthesiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
nol-saka@nms.ac.jp

ArticleTitle	Mechanism of Intractable Low Back Pain and Neural Blockade
AuthorList	Atsuhiro Sakamoto
Affiliation	Department of Anesthesiology, Nippon Medical School
Language	JA
Volume	69
Issue	6
Year	2002
Page	588-592
Received	August 20, 2002
Accepted	September 3, 2002
Keywords	low back pain, neuropathic pain, neural blockade
Abstract	Low back pain is one of the most prevalent complaints in clinical medicine. Sensations from the axial skeleton and the surrounding tissues are only vaguely somatotopic and are non-specific in quality. The diagnosis of the mechanism or source of low back pain is therefore very challenging. The treatment of low back pain that recurs, persists or intensifies is also formidable, because there has been no evidence of various therapies for chronic back pain. From the prophylactic viewpoint of chronic pain, the most considerable matter is early elimination of severe pain under certain diagnosis. In this article, the mechanisms of passing into the chronic state, especially the development of neuropathic pain, and the utilities of diagnostic and therapeutic neural blockade for low back pain are discussed.
Correspondence to	Atsuhiro Sakamoto, Department of Anesthesiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan nol-saka@nms.ac.jp