Publication: Degenerative physiochemical events in the pathological intervertebral disc
Authors
Lama, Polly ; Tewari, Jerina ; Adams, Michael A ; Le Maitre, Christine
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Publisher
Universidad de Murcia, Departamento de Biologia Celular e Histiologia
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DOI
https://doi.org/10.14670/HH-18-395
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info:eu-repo/semantics/article
Description
Abstract
. Low back pain is one of the commonest
musculoskeletal complaints that affects individuals of all
ages and is a leading contributor towards work loss
worldwide. The range of current treatment modalities
involving surgeries, injectable agents, and medications is
promising but cannot address the reasons behind the
occurrence of pain in patients with degenerative disc
pathologies. One possible factor for the limited success
is the lack of evidence behind the identification of early,
intermediate, and late stages of painful changes
methodologically in a vast group of populations and the
manifestation of the diseases in terms of increased
physical activity, hereditary patterns, and various risk
factors. However, despite these challenges, steady
progress has been achieved in understanding the
parameters in abnormally loaded progressively
degenerating discs and these features have been
elucidated at a physical, biochemical, and cellular level.
These recent findings can likely lead to the development
of therapeutic interventions that will identify and retard
tissue damage, decrease pain, and improve the quality of
life in these patients. Therefore, the main aim of this
review is to integrate recent updates in intervertebral
disc degeneration research for the development of
evidence-based screening protocols and more targeted
interventions in the management of low back pain.
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Citation
Histology and Histopathology Vol. 37, nº1 (2022)
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