Low Back Pain

被引:119
作者
Golob, Anna L. [1 ,2 ]
Wipf, Joyce E. [1 ,2 ]
机构
[1] Univ Washington, Dept Med, Seattle, WA 98195 USA
[2] VA Puget Sound Healthcare Syst, Gen Med Serv, Seattle, WA 98108 USA
关键词
Acute low back pain; Chronic low back pain; Risk factors; Cause; Diagnosis; Imaging; Treatment; Sciatica; CLINICAL-PRACTICE GUIDELINE; RANDOMIZED CONTROLLED-TRIAL; PRIMARY-CARE; LUMBAR SPINE; AMERICAN-COLLEGE; INCEPTION COHORT; PREVALENCE; SOCIETY; EPIDEMIOLOGY; DISABILITY;
D O I
10.1016/j.mcna.2014.01.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Low back pain is one of the most frequent complaints for which patients are seen in primary care. Low back pain has a substantial economic impact, estimated at $100 billion per year including direct and indirect costs. The evaluation of low back pain involves a thorough history and physical examination. Imaging is only indicated when a more serious underlying cause or neurologic abnormality is suspected. Abnormalities detected on imaging do not strongly correlate with symptoms. Generally, a specific underlying cause for low back pain is not identified. Treatment consists of a multidisciplinary approach with goal to maintain function and minimize disability.
引用
收藏
页码:405 / +
页数:25
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