Despite an increase in the number of available and effective antidepressants, many patients with depression respond poorly to drug treatment. At least a third of patients make an inadequate response to their first antidepressant monotherapy. Responses to subsequent courses are also limited.
Epidemiology/ Etiology. Discogenic pain is a form of low back pain, caused by chemically or mechanically damaged intervertebral discs.(level: 3A) This damage can find its origin in traumatic events, as well as in deterioration due to aging.
Psychogenic Tight Back Muscles. Some of the most common reasons for ongoing muscle tightness in the back are conscious stress and subconscious repressed emotional issues. The mind and body work together in all aspects of our lives, including causing and curing all manner of injury, disease and pain.