Conclusion:LBP diagnostic codes used in popular disease classification systems are out of touch with current approaches to diagnosis, as reflected in contemporary LBP guidelines. Our findings suggest these disease classification systems need revision, but precisely how they should be revised is unclear....
Avoid bed rest.When lower back pain strikes, people often think complete rest will relieve back pain. However, a 2010 review ofmany clinical studiesfound that patients who retreated to bed actually experienced more pain – and recovered more slowly – than patients who stayed fairly active. ...
Low back pain seems to be an integral part of most human lives and cause different degrees of suffering and disability. The exact cause of the pain cannot be identified in most instances. The making of the diagnosis rests mainly on the patient''s history, location, and duration of the pai...
Cox JM. Low Back Pain: Mechanism, Diagnosis and Treatment. Sixth. Baltimore: William & Wilkins; 1999. p. 439, 406.Mior S, Ro CS, Lawrence D. Low back pain: mechanisms, diagnosis and treatment. Baltimore: Williams and Wilkins; 1999....
A 21-year-old woman who was high-level college softball player presented with a 6-month history of low back pain that had been treated unsuccessfully by medication at local clinics. There was tenderness in the left paravertebral muscle at the lower lumbar level. X-ray and computed tomography ...
Identifying Patients With Chronic Low Back Pain Who Respond Best to Mechanical Diagnosis and Therapy: Secondary Analysis of a Randomized Controlled Trial. "Mechanical Diagnosis and Therapy" (MDT) (also known as the McKenzie method), like other interventions for low back pain (LBP), has been foun...
As mentioned, a large number of inflammatory factors are produced by the cells of the nucleus, which act on pain receptors to produce pain. Thus, the inflammatory response is the main pathophysiologic cause of DLBP.Figure 1 The pathogenesis of discogenic lower back painClinical diagnosis...
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These were not likely sources of significant bias, however, because we found a significant positive correlation between categories of low-value services that did not rely on diagnosis codes to define (ie, age-inappropriate cancer screening and preoperative testing) and because our results were not ...
The North American Spine Society's (NASS) Evidence Based Clinical Guideline for the Diagnosis and Treatment of Low Back Pain features evidence-based recommendations for diagnosing and treating adult patients with nonspecific low back pain. The guideline is intended to reflect contemporary treatment conc...