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Low back pain
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==Signs and symptoms== In the common presentation of acute low back pain, pain develops after movements that involve lifting, twisting, or forward-bending. The symptoms may start soon after the movements or upon waking up the following morning.<!--<ref name=casazza_2012/> --> The description of the symptoms may range from tenderness at a particular point, to diffuse pain. It may or may not worsen with certain movements, such as raising a leg, or positions, such as sitting or standing.<!--<ref name=casazza_2012/> --> Pain radiating down the legs (known as [[sciatica]]) may be present.<!--<ref name=casazza_2012/> --> The first experience of acute low back pain is typically between the ages of 20 and 40.<!--<ref name=casazza_2012/> --> This is often a person's first reason to see a medical professional as an adult.<ref name=casazza_2012/> Recurrent episodes occur in more than half of people<ref name=Stanton2010/> with the repeated episodes being generally more painful than the first.<ref name=casazza_2012/> Other problems may occur along with low back pain. Chronic low back pain is associated with sleep problems, including a greater amount of time needed to fall asleep, disturbances during sleep, a shorter duration of sleep, and less satisfaction with sleep.<ref name=kelly_2011>{{cite journal | vauthors = Kelly GA, Blake C, Power CK, O'keeffe D, Fullen BM | title = The association between chronic low back pain and sleep: a systematic review | journal = The Clinical Journal of Pain | volume = 27 | issue = 2 | pages = 169β181 | date = February 2011 | pmid = 20842008 | doi = 10.1097/AJP.0b013e3181f3bdd5 | s2cid = 19569862 }}</ref> In addition, {{Request quotation span|date=May 2025|a majority of those with chronic low back pain |reason=According to someone who has access, the second reference given here states that the prevalence of anxiety and depression is at 9.5% and 13.7%, while the first reference shows depression prevalence at less than 50%βnot enough to indicate 'a majority.'}} show symptoms of [[Depression (mood)|depression]]<ref name=miller_2012/> or [[anxiety]].<ref name=marlowe_2012/>
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