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Episodes
Thursday Aug 09, 2018
Thursday Aug 09, 2018
May 2010 Author in the Room® Teleconference
Author: Roger Chou, MD
Article: "The Rational Clinical Examination: Will This Patient Develop Persistent Disabling Low Back Pain?"
Summary Points:
- A small proportion of patients with acute low back pain (LBP) go on to develop chronic LBP; these patients account for a very high proportion of costs, services, and suffering.
- The most helpful items to predict persistent disabling low back pain are presence of maladaptive pain coping behaviors, nonorganic signs, functional impairment, general health status, and presence of psychiatric comorbidities.
- Early identification of patients with these risk factors could help guide early use of psychological therapies and exercise therapy to reduce the likelihood that they will go on to develop chronic disabling low back pain.
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