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Join mylowes Paper ↑ Hancock MJ, Maher CG, Latimer J, et al. Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. Eur Spine J 2007;16:1539–50. (Level of evidence: 1A)
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Footwear Advertising & Sponsorship While mechanical low back pain is not associated with mortality, morbidity in terms of lost productivity, use of medical services, and cost to society is staggering. Total workers’ compensation costs for cases occurring in 1989 in the United States amounted to $11.4 billion, making it the most costly ailment for working-age adults. No evidence has been found to indicate that these costs are declining.
A complete medical history and physical exam can usually identify any serious conditions that may be causing the pain. During the exam, a health care provider will ask about the onset, site, and severity of the pain; duration of symptoms and any limitations in movement; and history of previous episodes or any health conditions that might be related to the pain. Along with a thorough back examination, neurologic tests are conducted to determine the cause of pain and appropriate treatment. The cause of chronic lower back pain is often difficult to determine even after a thorough examination.
Premkumar A, Godfrey W, Gottschalk MB, Boden SD. Red Flags for Low Back Pain Are Not Always Really Red: A Prospective Evaluation of the Clinical Utility of Commonly Used Screening Questions for Low Back Pain. J Bone Joint Surg Am. 2018 Mar;100(5):368–374. PubMed #29509613.
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Jump up ^ Rothberg, S; Friedman, BW (January 2017). “Complementary therapies in addition to medication for patients with nonchronic, nonradicular low back pain: a systematic review”. The American journal of emergency medicine. 35 (1): 55–61. doi:10.1016/j.ajem.2016.10.001. PMID 27751598.
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Ben-Ami N, Chodick G, Mirovsky Y, Pincus T, Shapiro Y. Increasing Recreational Physical Activity in Patients With Chronic Low Back Pain: A Pragmatic Controlled Clinical Trial. J Orthop Sports Phys Ther. 2017 Feb. 47 (2):57-66. [Medline].
Other treatments have been used with varying results.12 Transcutaneous electrical nerve stimulation has been used in patients with subacute and chronic spine pain, with varying results. A number of factors appear to influence success, including chronicity of the pain, electrode-pad placement, and prior treatments. Corticosteroid injections in facet joints and epidural locations have been advocated by some clinicians. The value of therapeutic corticosteroid injection in the setting of chronic nonspecific back pain without established radiculopathy has not been proven.
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No A/C? No problem. SIGN UP Management of mechanical low back pain can be outlined in the following 6 steps:
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