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ARTICLE |

THE SIGNIFICANCE OF LUMBOSACRAL PAIN (BACKACHE)

GEORGE MARTYN, M.D.
JAMA. 1924;83(17):1297-1299. doi:10.1001/jama.1924.02660170013005.
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ABSTRACT

Lumbosacral pain is not of great compass, nor is it mortal in its seriousness, but it brings more pain and chronic disablement than most of its peers. Backache, in the majority of instances, is a symptom that is curable and belongs to the domain of neurology and internal medicine. The topography of the lesions of the cord and peripheral nerves has been so well worked out by Dejerine and others, and more recently amplified by Sicard, that there is little room for error. Unfortunately, the patient himself is unable to judge pain in a topographic sense, nor can he give pain a quality that will enable us to refer it to definite areas of the cerebrospinal nervous system with any certainty. Because pain is present and persists, it does not necessarily mean that the pathologic cause is in the subjacent nervous tissue. There are, however, certain characteristic symptoms, following lesions

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