Back Pain

Dec 1, 2007 Issue
Evaluation of Back Pain in Children and Adolescents [Article]

Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, spondylolysis, scol...

Nov 15, 2007 Issue
Nonspecific Low Back Pain and Return to Work [Article]

As many as 90 percent of persons with occupational nonspecific low back pain are able to return to work in a relatively short period of time. As long as no "red flags" exist, the patient should be encouraged to remain as active as possible, minimize bed rest, use ice or heat compresses, take anti-in...

Apr 15, 2007 Issue
Evaluation and Treatment of Acute Low Back Pain [Article]

Acute low back pain with or without sciatica usually is self-limited and has no serious underlying pathology. For most patients, reassurance, pain medications, and advice to stay active are sufficient. A more thorough evaluation is required in selected patients with "red flag" findings associated wi...

Nov 1, 2006 Issue
Chronic Low Back Pain [Clinical Evidence Handbook]

What are the effects of nondrug and oral drug treatments and injection therapy?

Sep 1, 2006 Issue
Acute Low Back Pain [Clinical Evidence Handbook]

What are the effects of oral drug and nondrug treatments? What are the effects of local injections?

Jun 15, 2005 Issue
Primary Care Interventions to Prevent Low Back Pain in Adults: Recommendation Statement [U.S. Preventive Services Task Force]

This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on low back pain and the supporting scientific evidence and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.

Feb 1, 2005 Issue
Spinal Manipulative Therapy for Low Back Pain [Cochrane for Clinicians]

In the short term, manipulative therapy is as effective for acute or chronic low back pain as other treatments such as analgesics, physical therapy, exercises, back school, and routine care from a primary care physician. Radiation of pain, type of manipulation, and use of multiple modalities do not alter these results.

Aug 1, 2004 Issue
Treatment of Degenerative Lumbar Spinal Stenosis [Article]

Spinal stenosis is a narrowing of the vertebral canal that compresses spinal nerves and may cause leg pain and difficulty walking. The symptoms of degenerative lumbar stenosis commonly occur in elderly adults and can be treated conservatively with pain-relieving agents or aggressively with decompres...

Jun 15, 2004 Issue
Spondyloarthropathies [Article]

The spondyloarthropathies include ankylosing spondylitis, reactive arthritis (including Reiter's syndrome), psoriatic arthritis, inflammatory bowel disease-associated spondyloarthropathy, and undifferentiated spondyloarthropathy. These diseases are linked by their association with the HLA-B27 gene a...

Jun 1, 2002 Issue
Neuroimaging in Low Back Pain [Article]

Patients commonly present to family physicians with low back pain. Because the majority of patients fully or partially recover within six weeks, imaging studies are generally not recommended in the first month of acute low back pain. Exceptions include patients with suspected cauda equina syndrome, ...

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