Tension back pain

Persistent somatoform pain disorder Similar to somatisation disorder, but persistent, severe and distressing pain, occurring with psychosocial problems Back pain Tension headache Atypical facial pain... 

Prevalence rates for a variety of different types of pain have been described. The annual incidence of moderate-intensity back pain is 10% to 15% in the adult population with a point prevalence of 15% to 30%.3 Migraine affects more than 25 million Americans, and 90% of Americans report some other types of headaches (e.g., tension or sinus) each year.4 Pain resulting from fibromyalgia affects 4 million Americans.5 Cancer is commonly associated with both acute and chronic pain, and about 70% of those diagnosed with cancer will experience significant pain.6... 

Unlabeled Uses Low back pain, spasticity associated with multiple sclerosis or spinal cord injury, tension headaches, trigeminal neuralgia... 

Main signs symptoms Low back pain, weak knees, a cold feeling in the lower half of the body, lower abdominal tension, inhibited urination or excessive urination, nocturia, cockcrow diarrhea, a pale, fat tongue with a thin, white, not dry coating, and a deep, fine pulse in the foot position... 

Tizanidine is an a2-adrenergic agonist [581] which is a good and well tolerated muscle relaxant used to treat muscular spasms and spastic conditions [582-587], Its action on adrenoceptors and its antinociceptive effect are well studied it depresses polysynaptic excitation of spinal motor neurones [588-591], Recent clinical trials demonstrated the value of tizanidine in the treatment of tension headaches [592] and lower back pain [593],... 

As adjunct therapy for headache disorders and acute back pain. In many small clinical trials tizanidine has improved chronic tension headache and facial pain from TMJ, and shown transient improvement in pain of trigeminal neuralgia and low back pain. All these studies are small and short-term. Doses used in these trials were low, mostly 2 mg twice a day. It also may have a role in helping patients wean off narcotics by minimizing withdrawal symptoms. 

The terms tension neck, tension headache, and tension back pain are common to the primaiy care physician. These syndromes are difficult to diagnose and even more difficult to treat. A multifactorial approach, incorporating behavior modification with relaxation and lengthening exercises, is advisable. Prevention by means of global relaxation and lengthening exercises and stress modification techniques should begin in childhood and continue throughout life. 

One of the most common factors contributing to low back pain, but more commonly the most overlooked risk factor, is stress, whether it is emotional stress or muscular tension, according to a 2010 University of Maryland report. Stress causes muscles to contract and when there is a significant emotional stress associated with the employee, the muscles will remain in a contracted state no matter what position the employee is in or how often an object is lifted or how heavy that object is. When muscles are chronically contracted, hlood circulation ceases at that level and oxygen is cut off to the muscle group, causing the muscle to lose some function, or perhaps die. 

For example, long hours at the video display terminal (VDT) can cause pains in the neck and back, eyestrain, and a general feeling of tension and irritability. Illness has increased among the office worker population. This may be attributed, in part, to the increased presence of environmental toxins within the office and to stress-producing factors associated with the automated office. Resulting illnesses may include respiratory problems, skin diseases, and stress-related conditions. 

---