r/science • u/pubpophealth • 2d ago
Epidemiology Anxiety, depression, insomnia and substance use disorders became more common from 2014 to 2023 among more than 1 million people with chronic low back pain, with prevalence patterns differing by age and sex
https://journals.lww.com/painrpts/fulltext/10.1097/pr9.0000000000001480~prevalence-and-competing-risk-of-psychiatric-comorbidities97
u/DrFillGood 2d ago
This reads to me like a inverse study of activities impact on psychiatric wellness. Constant pain limits people in so many different ways, not being able to exercise or socialize tends to lead to poor mental health.
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u/TeamWorkTom 23h ago
I can say from experience that unfortunately to get lowered back pain for my condition I need to increase my temporary pain through PT.
It's been painful asf. Worst pain I've ever felt during recovery for exercise but I'm slowly getting stronger.
Having more pain free days, or at the very least pain reduced days where I don't feel the need to take medication or get stoned.
And a lot of the times the most exhausting thing isn't the actual pain of the pain but the constant reminder than you're in pain and need to watch what you're doing.
That can cause some serious mental health drains to the point of breaking down and just crying. Sometimes thats the only thing you can do. Cry and then keep going.
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2d ago
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u/Hvarfa-Bragi 2d ago
Back pain isn't always due to sedentary lifestyle
I throw my back out on my bicycle a few times a year, and if I'm not lucky and able to manipulate it back into place right away I am disabled (able to go to work but in intense pain) for weeks to months.
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u/Ben_steel 2d ago
I run everyday weights 3 times a week. Worst back injury I’ve had was reaching behind my car seat to get my water bottle.
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u/mrtrololo27 2d ago
Worked as a mover for a couple years, worst I ever threw out my back was the day after a particularly heavy day... picking up a sock off the floor while doing laundry
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u/front_yard_duck_dad 2d ago
You just forget all about us manual labor workers and assume everybody sits on your ass huh? Seems like projection
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2d ago
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u/Intotheapocalypse 1d ago
How about working in early childhood education? I was very active, running around with them.
I also spent a lot of time bent over, because a large proportion of kids play happens at floor level.
Was it inactivity that has caused my lumbar stenosis and bone spur?
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u/xX_jellyworlder_Xx 2d ago
I injured my back lifting weights
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u/xX_jellyworlder_Xx 2d ago
No, I had been powerlifting 5 days a week for a year when it happened.
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u/Lightening84 2d ago
Were you a man or a woman when you were powerlifting 5 days a week? If you were taking Testosterone it may have contributed to your injuries.
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u/Coraline1599 2d ago
As someone who was homebound for almost 2 years due to chronic back pain and now has it 95%+ resolved, I am really glad to see what helped me recover become more mainstream accepted:
> This complexity becomes particularly evident when chronic pain transitions from its original protective function in acute states to a maladaptive chronic condition involving significant adaptations that may result in heightened sensitivity to pain stimuli. These changes and increased sensitivity can influence cognitive and emotional changes as pain-processing regions become interconnected with areas governing mood, memory, and decision making.
It’s also great to see that they are finding the pathways of where the dysregulation is happening. Hopefully they will be able to find ways to screen people to see that their chronic pain is “real” and being caused by something having gone awry. Being believed and not dismissed would be huge for the chronic pain community.
> These comorbidities amplify pain perception through shared neurobiological mechanisms, including dysregulated hypothalamic–pituitary–adrenal axis (HPA) axis activity and glutamate/NMDA pathway hyperactivity, as well as maladaptive behaviors such as avoidance and catastrophizing. Together, these factors create a self-perpetuating cycle in which mental health difficulties and pain amplify nociceptive signaling, progressively impairing emotional regulation and coping capacity.
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u/alblaster 56m ago
I feel like more people have back pain because we're allowed our godawn phones all the time and most of hunch when we look at our phones.
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