Neurology Medicine

- The attitude to pain, influence the risk of pain and especially in its duration and the risk of recurrence. The available studies show that patients who have suffered back pain can react in two ways:

1. A (the “elusive”) is frightened by the pain and fear for their future, mistakenly thinking that every time they notice a sore back necessarily mean that your injury is getting worse. So rest a lot, avoid physical activity, waiting passively for the pain better, and tend to abuse drugs, especially painkillers.

2. Others (the “combative”) does not fear for their future and hope the pain will get better or if not, can adapt to it. They have a life as normal as they can, keep active and go to work, avoiding only what really prevents them from pain and not afraid if you ever notice an annoyance. The available studies show that, in connection with the “elusive”, the “militant” are less likely to suffer back pains back and, if present, they take less.

These facts are explained by several reasons:

- First, by psychological aspects: the “elusive” tend to obsess about their pain and discomfort interpret the passengers who may feel at any given time reflect a serious injury. Therefore, it is stressed, which is an additional risk to your back. In addition, anxious and depressed more easily, which makes that tend to further magnify the pain they feel.

- Apart from the physical point of view, excessive rest and inactivity tend to accelerate the loss of power and muscular endurance, making the back more vulnerable to overload and facilitating the risk of pain recurrence or perpetuate .

- Stress, increases the risk of back pain. It really has more influence on the perception of pain in the risk of emergence, ie only increase the likelihood of a sore back, stress makes it be perceived as more intense pain. Probably there is a dual mechanism: Stress can alter, increasing the perception of pain. Some data suggest that stress can cause increased muscle tone and facilitate the development of contractures, although the studies that have compared the electrical activity of muscle of stressed and unstressed patients have provided conflicting results.

- Dissatisfaction, increases the risk of back pain, and especially the episodes that last longer. Studies in the workplace reflect dissatisfaction with the job increases the risk of back pain and increases the period of leave. From the medical point of view, and apart from employment considerations, the mechanism that can explain their influence may be twofold: A mechanism similar to the stress. Somatization unaware of the dissatisfaction with life in the form of back pain.

Source: www.espalda.org/divulgativa/dolor/causas/factores.asp
image source: http://media.rd.com/rd/images/rdc/mag0707/chronic-back-pain-breakthroughs-01-af.jpg