Spine pain

Michael B. Jacobs, Steven P. Cohen

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


Spine pain is the leading cause of disability in the USA in individuals less than 45 years old, with annual costs in the USA totaling more than $140 billion. By definition, acute and subacute spine pain resolves spontaneously within several months. However, chronic pain is a more challenging clinical condition and often requires an interdisciplinary approach to treatment. Mechanical back pain results from injury to muscles, fascia, discs, bones, or joints. Neuropathic spine pain results from inflammation or injury to nerve roots, and central sensitization may occur following prolonged symptoms from a mechanical injury. A focused differential diagnosis of spine pain can usually be made by history and physical exam, but a definitive diagnosis may require diagnostic interventions and/or imaging. Treatment of chronic spine pain should be individualized using an interdisciplinary approach to include medications, physical therapy, psychological therapy, complementary and alternative medicine therapies, interventional pain treatments, and/or surgery.

Original languageEnglish (US)
Title of host publicationFundamentals of Pain Medicine
PublisherSpringer International Publishing
Number of pages10
ISBN (Electronic)9783319649221
ISBN (Print)9783319649207
StatePublished - Jan 1 2018


  • Herniated disc
  • Low back pain
  • Mechanical pain
  • Spinal stenosis
  • Spine pain

ASJC Scopus subject areas

  • General Medicine


Dive into the research topics of 'Spine pain'. Together they form a unique fingerprint.

Cite this