Chronic low back pain in primary care: a prospective study on the management and course.

作者: M. W. van Tulder , B. W. Koes , J. F. Metsemakers , L. M. Bouter

DOI: 10.1093/FAMPRA/15.2.126

关键词: Low back painNeurologyPhysical therapyPhysical examinationPrimary careMedicineProspective cohort studyMEDLINEChronic low back painReferral

摘要: Background There is little evidence about the management and course of chronic low back pain in primary care. Objectives Our aim was to describe performed diagnostic therapeutic procedures for patients with general practice. Methods Twenty-six GPs involved Registration Network Family Practices participated this prospective follow-up study. All were asked complete questionnaires at baseline 4, 8 12 months follow-up. Results The provided information concerning 524 pain. Diagnostic tests other than history-taking physical examination not frequently used. Medication, mostly NSAIDs, most used type treatment (21.6%). frequent referrals concerned physiotherapy (16.3%) neurology or neurologic surgery (6.3%). Information their by 368 participating our appeared be quite stable, as there only a slight improvement intensity functioning over Conclusions A variety options referral available GPs. Efforts should made establish which are effective

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