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Risk factors

By Mayo Clinic staff

Pain Management Advisor

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Anyone can develop back pain, even children and teens. Although excess weight, lack of exercise and improper lifting are often blamed for back pain, research looking at these possible risk factors hasn't yet provided any clear-cut answers.

One group that does appear to have a greater risk of back pain are people with certain psychological issues, such as depression and anxiety, though the reasons why there's an increased risk aren't known.

References
  1. Adult acute and subacute low back pain. Bloomington, Minn.:Institute for Clinical Systems Improvement. http://www.icsi.org/low_back_pain/adult_low_back_pain__8.html. Accessed July 10, 2012.
  2. Balague F, et al. Non-specific low back pain. The Lancet. 2012;379:482.
  3. Wheeler SG, et al. Approach to the diagnosis and evaluation of low back pain in adults. http://www.uptodate.com/index. Accessed July 14, 2012.
  4. Low back pain fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm. Accessed July 15, 2012.
  5. Duffy RL. Low back pain: An approach to diagnosis and management. Primary Care: Clinics Office Practice. 2010;37:729.
  6. Devereaux M. Low back pain. Medical Clinics of North America. 2009;93:477.
  7. Hoy D, et al. The epidemiology of low back pain. Best Practice & Research Clinical Rheumatology. 2010;24:769.
  8. Jensen JN, et al. The greatest risk for low-back pain among newly educated female health care workers; body weight or physical work load? BMC Musculoskeletal Disorders. 2012;13:87.
  9. Coenen P, et al. Cumulative low back load at work as a risk factor of low back pain: A prospective cohort study. Journal of Occupation Rehabilitation. In press. Accessed July 15, 2012.
  10. Pepijn DDM Roelofs, et al. Non-steroidal anti-inflammatory drugs for low back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000396.pub3/abstract. Accessed July 15, 2012.
  11. Knight CL, et al. Treatment of acute low back pain. http://www.uptodate.com/index. Accessed July 14, 2012.
  12. Engers AJ, et al. Individual patient education for low back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004057.pub3/abstract. Accessed July 15, 2012.
  13. Hayden J, et al. Exercise therapy for treatment of non-specific low back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000335.pub2/abstract.. Accessed July 15, 2012.
  14. Last A, et al. Chronic low back pain: Evaluation and management. American Family Physician. 2009;79:1067.
  15. Carneiro K, et al. The role of exercise and alternative treatments for low back pain. Physical Medicine and Rehabilitation Clinics of North America. 2010;21:777.
  16. Furlan AD, et al. Acupuncture and dry-needling for low back pain. Cochrane Database of Systematic Reviews. http://www.thecochranelibrary.com/view/0/index.html. Accessed July 15, 2012.
  17. Furland AD, et al. Massage for low-back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001929.pub2/abstract. Accessed July 15, 2012.
  18. Henschke N, et al. Behavioural treatment for chronic low-back pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002014.pub3/abstract. Accessed July 15, 2012.
  19. Tillbrook HE, et al. Yoga for chronic low back pain. Annals of Internal Medicine. 2011;155:569.
  20. Sherman KJ, et al. A randomized trial comparing yoga, stretching, and a self-care book for chronic low back pain. Archives of Internal Medicine. 2011;171:2019.
DS00171 Sept. 11, 2012

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