(English) Episode 257-The real biology of back pain

The provided source is a comprehensive medical review detailing the diagnosis, history, and management of chronic low back pain (cLBP). It categorizes the condition into non-degenerative, mechanism-unknown, and degenerative types, replacing the outdated label of "nonspecific" pain. The text emphasizes a biopsychosocial approach, identifying "red flags" for serious pathologies and "yellow flags" for psychological factors like depression and anxiety. It further maps potential pain generators across the anterior and posterior vertebral columns, as well as extra-vertebral structures like the sacroiliac joint. Finally, the authors discuss various interventional treatments, ranging from radiofrequency ablation to lifestyle modifications and physical therapy.Farley T, Stokke J, Goyal K, DeMicco R. Chronic low back pain: History, symptoms, pain mechanisms, and treatment. Life (Basel) [Internet]. 2024;14(7):812. Available from: http://dx.doi.org/10.3390/life14070812