BACKGROUND Although clinical guidelines generally portray chronic low back pain as a condition with a poor prognosis this portrayal is based on studies of potentially unrepresentative survival cohorts. The aim of this study is to describe the prognosis of an inception cohort of people with chronic low back pain presenting for primary care. METHODS/DESIGN The study will be an inception cohort ...

Purpose Minority groups experience significant barriers to participation in clinical trials. Little is known about characteristics of treatment adherence among low income minority populations in CAM trials. This analysis aims to identify factors associated with class attendance, a major component of treatment adherence, in participants engaged in a research study of yoga for chronic low back pa...

OBJECTIVE Identify the prevalence of low back disorders and associated risks, as well as the characteristics and ergonomic factors present in the work of nursing professionals. METHODS Systematic review based on the search of terms such as low back pain, professionals, hospital ergonomics, work organization, nursing found in national and international databases. RESULTS The prevalence of lo...

it is widely believed that pain has a profound effect on health related quality of life. this study was conducted to assess quality of life in patients suffering from different density of chronic low back pain. the sample consisted of 101 patients with chronic low back pain attending to the rheumatology research center of tehran university of medical sciences between july and september 2003. al...

A focused history taking and physical examination directed toward uncovering signs that suggest a serious underlying cause of low back pain are crucial. "Red flags" include pain that lasts more than 6 weeks; pain in persons younger than 18 years or older than 50 years; pain that radiates below the knee; a history of major trauma; poor rectal tone; constitutional symptoms; atypical pain (eg, tha...

In this discussion, we hope to advance a clinical approach to low back pain that is more in line with our modern understanding of neuropathic pain. We review the current understanding of normal and pathologic neuroanatomy of the lumbar spine and then outline how pathology in the different structures can lead to neuropathic pain and cause common pain patterns seen in clinical practice. We also d...

N Engl J Med 2005;352:1891-8. Copyright © 2005 Massachusetts Medical Society. A 49-year-old maintenance worker with a history of depression and previous reports of minor back pain is seen after four months of continuing low back pain. He has remained out of work for fear of worsening the injury. Magnetic resonance imaging (MRI) two weeks after the onset of pain showed only mild degenerative cha...