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By Katz J.N.

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You may be sedentary at work and play and over time your body has become deconditioned. Perhaps there are work-associated difficulties. Low pay and job dissatisfaction have been shown to influ- The First Scientific Paper on Back Pain The study of back pain has had a long and distinguished history, but you might be surprised to know quite how long. The first orthopedic paper we know of was written more than 4,630 years ago—on papyrus. ) was a multitalented man who served the second pharaoh of the Third Dynasty.

This relay system communicates moment-tomoment feedback to the operation center on the amount of tension in the muscles and tendons. • Tendons and ligaments are made of connective tissue consisting of the proteins collagen and elastin. Collagen gives the tissue toughness and elastin gives it elasticity. The tendons and ligaments around the spine reinforce and stabilize the system of bones, joints, and muscles. The combination of all the elements working harmoniously is what makes your back such a marvel of kinetic engineering.

You’re in charge. This shift to patient-centered management is happening in many areas of medicine. But taking control of their treatment management is particularly appropriate for people with back pain. As individuals we feel pain differently. A tolerable degree of pain for one person may be intolerable for someone else. Our lifestyles are different in terms of Bewildered by Your Back Pain? physical demands and life/work responsibilities. Some of us have more time than others to “wait out” a back problem.

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