Abstract
Two men working in the same factory report the onset of back pain after the same type of incident—lifting a heavy object at the end of a long work day. One man, Mr. A, misses 2 days of work and then returns although, for the first few days back at work, he avoids the heavier tasks. Mr. Z, destined never to return to work, experiences increasing pain and limitations in his ability to function. He undergoes ever-more expensive and invasive treatments until, perhaps inevitably, he ends up having spine surgery. Even so, his pain does not remit. Eventually, he loses his job, his motivation and his self-esteem. He is declared to have failed back surgery syndrome (FBSS), and another surgery is proposed. He goes on to become, essentially, a ward of the State, on Social Security Disability, with almost no hope of resuming productive activity.
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References
Abdi, S., Datta, S., Trescott, A., Schultz, D. M., Adlaka, R., Atluri, S. L., et al. (2007). Epidural steroids in the management of chronic spinal pain: A systematic review. Pain Physician, 10, 185–212.
Anderson, P. A., Schwaegler, P. E., Cizek, D., & Leverson, G. (2006). Work status as a predictor of surgical outcome of discogenic low back pain. Spine, 31, 2510–2515.
Andersson, G. B. J. (1999). Epidemiological features of chronic low-back pain. Lancet, 354, 581–585.
Atlas, S. J., Keller, R. B., Robson, D., Deyo, R. A., & Singer, D. E. (2000). Surgical and nonsurgical management of lumbar spinal stenosis: Four-year outcomes from the Maine lumbar spine study. The Spine Journal, 35(5), 556–562.
Atlas, S. J., Keller, R. B., Wu, Y. A., Deyo, R. A., & Singer, D. E. (2005). Long-term outcomes of surgical and non-surgical management of lumbar spinal stenosis: 8 to 10 year results from the Maine Lumbar Spine Study. Spine, 30, 936–943.
Atlas, S. J., Tosteson, T. D., Blood, E. A., Skinner, J. S., Pransky, G. S., & Weinstein, J. N. (2009). The impact of workers compensation on outcomes of surgical and nonoperative therapy for patients with lumbar disc herniation: Sport. Spine, 2009, 89–97.
Ben-Porath, Y. S., & Tellegen, A. (2008). The Minnesota multiphasic personality inventory-2 restructured form (MMPI-2-RF): Manual for administration, scoring, and interpretation. Minneapolis, MN: University of Minnesota Press.
Bigos, S. J., Battie, M. C., Spengler, D. M., Fisher, L. D., Fordyce, W. E., Hansson, T., et al. (1991). A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine, 16, 1–6.
Block, A. R., Ben-Porath, Y. S., & Marek, R. J. (2013). Psychological risk factors for poor outcome of spine surgery and spinal cord stimulator implant: A review of the literature and their assessment with the MMPI-2-RF. The Clinical Neuropsychologist, 27, 81–107. doi: 10.1080/13854046.2012.721007.
Block, A.R., Ben-Porath, Y.S., Ohnmeiss, D., Guyer, R.D., & Marek, R. (2012). Psychosocial factors and expectancy contribute separately to spine surgery outcome. Paper Presented at North American Spine Society Annual Convention, Dallas, TX.
Block, A. R., Gatchel, R., Deardorff, W., & Guyer, R. (2003). The psychology of spine surgery. Washington, DC: American Psychological Association.
Block, A. R., Ohnmeiss, D. D., Guyer, R. D., Rashbaum, R., & Hochschuler, S. H. (2001). The use of presurgical psychological screening to predict the outcome of spine surgery. The Spine Journal, 1, 274–282.
Block, A. R., & Sarwer, D. B. (Eds.). (2013). Presurgical psychological screening: Understanding patients, improving outcomes. Washington, DC: American Psychological Association.
Brox, J. I., Reikeras, O., Nygaard, O., Sørensen, R., Indahl, A., Holm, I., et al. (2006). Lumbar instrumented fusion compared with cognitive intervention and exercises in patients with chronic back pain after previous surgery for disc herniation: A prospective randomized controlled study. Pain, 122, 145–155.
Brox, J. I., Sorensen, R., Friis, A., Nygaard, Ø., Indahl, A., Keller, A., et al. (2003). Randomized clinical trial of lumbar instrumented fusion and cognitive intervention and exercises in patients with chronic low back pain and disc degeneration. Spine, 28, 1913–1921.
Bruehl, S., Chung, O. Y., Burns, J. W., & Diedrich, L. (2007). Trait anger expressiveness and pain-induced beta-endorphin release: Support for the opioid dysfunction hypothesis. Pain, 130, 208–215.
Burns, J. W. (2006). Arousal of negative emotions and symptom-specific reactivity in chronic low back pain patients. Emotion, 6, 309–319.
Carlson, J. W., Keefe, F. J., Goli, V., Fras, A. M., Lynch, T. R., Thorp, S. R., et al. (2005). Forgiveness and chronic low back pain: A preliminary study examining the relationship of forgiveness to pain, anger and psychological distress. The Journal of Pain, 6, 84–91.
Cherkin, D. C., Deyo, R. A., Battie, M., Street, J., & Barlow, W. (1998). A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. New England Journal of Medicine, 339, 1021–1029.
Chou, L. H., Slipman, C. W., Bhagia, S. M., Tsaur, L., Bhat, A. L., Isaac, Z., et al. (2004). Inciting events initiating injection-proven sacroiliac joint syndrome. Pain Medicine, 5, 26–32.
Currie, S. R., & Wang, J. L. (2004). Chronic back pain and major depression in the general Canadian population. Pain, 107, 54–60.
Davis, D. A., Luecken, L. J., & Zaruta, A. J. (2005). Are reports of childhood abuse related to the experience of chronic pain in adulthood? A meta-analytic review of the literature. Clinical Journal of Pain, 21, 398–405.
DeGood, D. E., & Kiernan, B. (1996). Perception of fault in patient with chronic pain. Pain, 64, 153–159.
Dennis, M. D., Rocchio, P. O., & Wiltse, L. L. (1981). The topographical pain representation and its correlation with MMPI scores. Orthopedics, 5, 432–434.
Dersh, J. D., Mayer, T. G., Gatchel, R. J., Polatin, P. B., Theodore, B. R., & Mayer, E. A. K. (2008). Prescription opioid dependence is associated with poorer outcomes in disabling spinal disorders. The Spine Journal, 20, 2219–2227.
Deyo, R. A., Mirza, S. K., & Martin, B. I. (2006). Back pain prevalence and visit rates: Estimates from U.S. national surveys. Spine, 21, 1957–1963.
Dreyfuss, P., Michaelsen, M., Pauza, K., McLarty, J., & Bogduk, N. (1996). The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine, 21, 2594–2602.
Dworkin, R. H., Handlin, D. S., Richlin, D. M., Brand, L., & Vannucci, C. (1985). Unraveling the effects of compensation, litigation and employment on treatment response in chronic pain. Pain, 23, 49–59.
Elnaggar, I. M., Nordin, M., Sheikhzadeh, A., Parnianpour, M., & Kahanovitz, N. (1991). Effects of spinal flexion and extension exercises on low-back pain and spinal mobility in chronic mechanical low-back pain patients. Spine, 16, 967–972.
Fairbank, J., Frost, H., Wilson-MacDonald, J., Yu, L. M., Barker, K., & Collins, R. (2005). Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: The MRC spine stabilisation trial. British Medical Journal, 330, 1233–1239.
Fernandez, E., Clark, T. S., & Ruddick-Davis, D. (1999). A framework for conceptualization and assessment of affective disturbance in pain. In A. R. Block, E. F. Kremer, & E. Fernandez (Eds.), Handbook of pain syndromes: Biopsychosocial perspectives. Mahwah, NJ: Lawrence Erlbaum.
Fernandez, E., & Turk, D. C. (1995). The scope and significance of anger in the experience of chronic pain. Pain, 61, 165–175.
Findlay, G. F., Hall, B. I., Musa, B. S., Olivreia, M. D., & Fear, S. C. (1998). A 10-year follow-up of the outcome of lumbar discectomy. Spine, 10, 1168–1171.
Fishbain, D., Cutler, R., Rosomoff, H., & Rosomoff, R. (1997). Chronic-pain associated depression: Antecedent or consequence of chronic pain? A review. Clinical Journal of Pain, 13, 116–137.
Frank, J. W., Brooker, A. S., DeMaio, S. E., Kerr, M. S., Maetzel, A., Shannon, H. S., et al. (1996). Disability resulting from occupational low back pain. Part II: What do we know about secondary prevention? A review of the scientific evidence on prevention after disability begins. Spine, 21, 2918–2929.
Franklin, G. M., Haug, J., Heyer, N. J., McKeefrey, S. P., & Picciano, J. F. (1994). Outcome of lumbar fusion in Washington state workers’ compensation. Spine, 19(17), 1897–1904.
Fritzell, P., Hagg, O., Wessberg, P., & Nordwall, A. (2001). Volvo award winner in clinical studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: A multicenter randomized controlled trial from the Swedish lumbar spine study group. Spine, 26, 2521–2532.
Frymoyer, J. W., & Cats-Baril, W. L. (1987). An overview of the incidences and cost of low back pain. Orthopedic Clinics of North America, 22, 263–271.
Ghormley, R. (1933). Low back pain with special reference to the articular facets with presentation of an operative procedure. Journal of the American Medical Association, 101, 1773–1777.
Green, C. R., Flowe-Valencia, H., Rosenblum, L., & Tait, A. R. (1999). Do physical and sexual abuse differentially affect chronic pain states in women? Journal of Pain and Symptom Management, 18, 420–426.
Gureje, O., Von Korff, M., Kola, L., Demyttenaere, K., He, Y., Posada-Villa, J., et al. (2008). The relation between multiple pains and mental disorders: Results for the World Mental Health Survey. Pain, 135, 82–91.
Guyer, R. D., & Shellock, J. (2011). Lumbar disc arthroplasty: Indications and contra-indications. In J. J. Yue, R. D. Guyer, J. P. Johnson, T. L. Khoo, & S. H. Hochschuler (Eds.), Comprehensive treatment of the aging spine: Minimally invasive and advanced techniques. Philadelphia: Saunders.
Haber, J., & Roos, C. (1985). Effects of spouse abuse and/or sexual abuse in the development and maintenance of chronic pain in women. Advances in Pain Research and Therapy, 9, 889–895.
Harkonmaki, K., Korkeila, K., Vahtera, J., Kivimaki, M., Suominen, S., Silanmaki, L., et al. (2008). Childhood adversities as a predictor of disability retirement. Journal of Epidemiology and Community Health, 61, 479–484.
Harris, I., Mulford, J., Solomon, M., van Gelder, J. M., & Young, J. (2005). Association between compensation status and outcome after surgery. Journal of the American Medical Association, 293, 1644–1652.
Harrop, J. S., Youssef, J. A., Maltenfort, M., Vorwald, P., Jabbour, P., Bono, C. M., et al. (2008). Lumbar adjacent segment degeneration and disease after arthrodesis and total disc arthroplasty. Spine, 33, 1701–1707.
Hayden, J. A., van Tulder, M. W., Malmivaara, A., & Koes, B. W. (2005). Exercise therapy for the treatment of non-specific low back pain. Cochrane Database Systems Review, 3, CD000335.
Irish, L., Kobayashi, I., & Delhanty, D. L. (2010). Long-term health consequences of childhood sexual abuse: A meta-analytic review. Journal of Pediatric Psychology, 35, 450–461.
Iverson, M. D., Daltroy, L. H., Fossel, A. H., & Katz, J. N. (1998). The prognostic importance of patient pre-operative expectations for surgery for lumbar spinal stenosis. Patient Education and Counseling, 34, 169–178.
Katz, J. N. (2006). Lumbar disc disorders and low-back pain: Socioeconomic factors and consequences. Journal of Bone and Joint Surgery, 88(Suppl. 2), 21–24.
Keller, L. S., & Butcher, J. N. (1991). Assessment of chronic pain patients with the MMPI-2. Minneapolis, MN: University of Minnesota Press.
Klekamp, J., McCarty, E., & Spengler, D. (1998). Results of elective lumbar discectomy for patients involved in the workers’ compensation system. Journal of Spinal Disorders, 11, 277–282.
Lawrence, J. T., London, N., Bohlman, H. H., & Chin, K. R. (2008). Preoperative narcotic use as a predictor of clinical outcome: Results following anterior cervical arthrodesis. Spine, 33(19), 2074–2078.
Linton, S. J. (1997). A population-based study of the relationship between sexual abuse and back pain: Establishing a link. The Journal of Pain, 73, 47–53.
Luschka, H. V. (1850). Die Nerven des menshlichen Wirbelkanales. Tubingen, Germany: Laub.
Mahowald, M. L., Singh, J. A., & Majeski, P. (2005). Opioid use by patients in an orthopedic spine clinic. Arthritis and Rheumatism, 52, 312–321.
Malter, A. D., Larson, E. B., Urban, N., & Deyo, R. A. (1996). Cost-effectiveness of lumbar discectomy for the treatment of herniated intervertebral disc. The Spine Journal, 21, 1048–1054.
Manchukonda, R., Manckikanti, K. N., Cash, K. A., Pampati, V., & Manchikanti, L. (2007). Facet joint pain in chronic spinal pain: An evaluation of prevalence and false-positive rate of diagnostic blocks. Journal of Spinal Disorders & Techniques, 20, 539–545.
Martell, B. A., O’Connor, P. R., Kerns, R. D., Becker, W. C., Morales, K. H., Kosten, T. R., et al. (2007). Systematic review: Opioid treatment for chronic back pain: Prevalence, efficacy and association with addiction. Annals of Internal Medicine, 146, 16–127.
Martin, B. I., Deyo, R. A., Mirza, S. K., Turner, H. A., Comstock, B. A., Hollingworth, W., et al. (2008). Expenditures and health status among adults with back and neck problems. Journal of the American Medical Association, 299, 656–664.
McWilliams, L. A., Goodwin, R. D., & Cox, B. J. (2004). Depression and anxiety associated with three pain conditions: Results from a nationally-representative sample. Pain, 111, 77–83.
Melzack, R., & Wall, P. D. (1965). Pain mechanism: A new theory. Science, 150, 971–979.
Nachemson, A., & Elfström, G. (1970). Intravital dynamic pressure measurements in lumbar discs: A study of common movements, maneuvers and exercises. Scandinavian Journal of Rehabilitation Medicine, 1(Suppl. 1), 1–40.
National Research Council and Institute of Medicine. (2001). Musculoskeletal disorders and the workplace: low back and upper extremities (Panel on Musculoskeletal disorders and the work place. Commission on Behavioral and Social Science and education). Washington, DC: National Academy Press.
North, R. B., Campbell, J. N., James, C. S., Conover-Walker, M. K., Wang, H., Piantadosi, S., et al. (1991). Failed back surgery syndrome: 5-year follow up in 102 patients undergoing repeated operation. Neurosurgery, 28(5), 685–691.
Nyiendo, J., Haas, M., Goldberg, B., & Lloyd, C. (2001). A descriptive study of medical and chiropractic patients with chronic low back pain and sciatica: management by physicians (practice activities) and patients (self-management). Journal of Manipulative and Physiological Therapeutics, 24, 5423–5551.
Panjabi, M. M. (2006). A hypothesis of chronic back pain: Ligament subfailure injuries lead to muscle control dysfunction. European Spine Journal, 5, 668–676.
Pleis, J. R., & Lethbridge-Cejku, M. (2007). Summary health statistics for U.S. adults: National Health Interview Survey, 2006. National Center for Health Statistics. Vital and Health Statistics, 10(235), 1–153.
Polatin, P. R., Kinney, R. K., Gatchel, R. J., Lillo, E., & Mayer, T. G. (1993). Psychiatric illness and chronic low-back pain. The mind and the spine—which goes first? Spine, 12, 66–71.
Rivero-Arias, O., Campbell, H., Gray, A., Fairbank, J., Frost, H., & Wilson-MacDonald, J. (2005). Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: Cost utility analysis based on a randomised controlled trial. British Medical Journal, 330, 1239–1243.
Rosenblum, A., Marsch, L. A., Portenoy, R. K., & Jospeh, H. (2008). Opioids and the treatment of chronic pain: Controversies, current status and future directions. Experimental and Clinical Psychopharmacology, 16, 405–416.
Shealy, C. N., Mortimer, J. T., & Reswick, J. B. (1967). Electrical inhibition of pain by stimulation of the dorsal columns: preliminary clinical report. Anesthesia and Analgesia, 46, 489–491.
Sherman, J., Cauthen, J., Schoenberg, D., Burns, M., Reaven, N. L., & Griffith, S. L. (2010). Economic impact of improving outcomes of lumbar discectomy. The Spine Journal, 10, 108–116.
Simons, D. G., Travell, J. G., & Simons, L. S. (1999). Myofascial pain and dysfunction. The trigger point manual (2nd ed.). Baltimore: Williams & Wilkins.
Slipman, C. W., Sterenfeld, E. B., Chou, L. H., Herzog, R., & Vresilovic, E. (1998). The predictive value of provocative sacroiliac joint stress maneuvers in the diagnosis of sacroiliac joint syndrome. Archives of Physical Medicine and Rehabilitation, 79, 288–292.
Spengler, D. M., Freeman, C., Westbrook, R., & Miller, J. W. (1980). Low-back pain following multiple lumbar spine procedures: Failure of initial selection? Spine, 5(4), 356–360.
Substance Abuse and Mental Health Services Administration. (2008). Results from the 2007 national survey on drug use and health: National findings (Office of Applied Studies, NSDUH Series H-34, DHS publication No. SMA 08-4343), Rockville, MD.
Takata, K., & Hirotani, H. (1995). Pain drawings in the evaluation of low back pain. International Orthopaedics, 19, 361–366.
Turk, D. C., & Burwinkle, T. M. (2005). Assessment of chronic pain in rehabilitation: Outcomes measures in clinical trials and clinical practice. Rehabilitation Psychology, 50, 56–64.
Turk, D. C., & Okifuji, A. (1996). Perception of traumatic onset, compensation status, and physical findings: Impact on pain severity, emotional distress, and disability in chronic pain patients. Journal of Behavioral Medicine, 19, 435–453.
Turner, J. A., Loeser, J. D., Deyo, R. A., & Sanders, S. B. (2004). Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome: A systematic review of effectiveness and complications. The Journal of Pain, 108, 137–147.
Vernon-Roberts, B., & Pirie, C. J. (1977). Degenerative changes in the intervertebral discs of the lumbar spine and their sequelae. Rheumatology Rehabilitation, 16, 13–21.
Walsh, C. A., Jamieson, E. L., MacMillian, H., & Boyle, M. (2007). Child abuse and chronic pain in a community survey of women. Journal of Interpersonal Violence, 22, 1536–1554.
Williams, P. (1974). Low back and neck pain: Causes and conservative treatment (3rd ed.). Springfield, IL: Charles C. Thomas.
Wunsch, M. J., Cropsey, K. L., Campbell, E. D., & Nicely, J. S. (2008). Oxycontin abuse and overuse. Journal of Opioid Management, 4, 73–79.
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Block, A.R., Shellock, J. (2014). Back Pain. In: Gatchel, R., Schultz, I. (eds) Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace. Handbooks in Health, Work, and Disability. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0612-3_2
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