Neck and back pain are common, particularly with aging. Low back pain affects 50% of adults > 60. Symptoms may simply be local pain, which can be sharp or dull, continuous or intermittent, depending on the cause and the degree of concomitant muscle spasms. The reflex tightening of paraspinal muscles in response to a painful vertebral column disorder may be more excruciating than the primary condition. If the spinal cord or nerve roots are affected, a variety of neurologic symptoms may result, including paresthesias and weakness. Pain may radiate distally along the distribution of affected nerve roots (radicular pain or, in the low back, sciatica).
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