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The patient with acute low back pain

  • Gunnar B. J. Andersson
  • Thomas W. McNeill

Abstract

The twelve symptoms and signs in Table 1 constitute the most common significant clinical syndrome in the constellation of syndromes in which “acute low back pain” is the central unifying symptom. It is rare, however, that the actual patient’s symptoms and signs have a one-to-one correspondence with this list. One or several of the twelve can be missing. However, significant deviations from this list should warn the clinician that a different and possibly more serious pathological condition may be present. Conversely, absolute correspondence with this list does not guarantee that the pathologies described below are the cause of the patient’s symptoms. The physician must be diligent in observing the patient’s changing state so as to detect changes that will require a new analysis of the patient’s status and a new approach to diagnosis and treatment.

Keywords

Back Pain Annulus Fibrosis Acute Episode Paraspinal Muscle Severe Lower Back Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Chöler U, Larsson R, Nachemson A, Peterson L-E (1985) Back pain — attempt at a structured treatment program for patients with low back pain. Spri Report 188. Spri, Stockholm (in Swedish)Google Scholar
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  4. Wiesel SW, Cuckler JM, DeLuca C et al (1980) Acute low back pain: an objective analysis of conservative therapy. Spine 5: 324–330PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1989

Authors and Affiliations

  • Gunnar B. J. Andersson
    • 1
  • Thomas W. McNeill
    • 1
  1. 1.Department of Orthopedic SurgeryRush-Presbyterian-St. Luke’s Medical HospitalChicagoUSA

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