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The patient with recurrent low back pain

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

Abstract

Recurrences are part of the natural history of low back pain. In two prospective studies of industrial populations, recurrent symptoms occurred within one year in 60 percent of those workers who had an acute low back pain episode (Bergquist-Ullman and Larsson, 1977; Troup et al., 1981). A history of sciatica has been found to indicate increased risk of recurrence (Troup et al., 1981; Biering-Sorensen, 1983). Biering-Sorensen (1983), in a prospective Danish study found that the risk of recurrent low back pain in the first year increased when there had been (1) many previous back pain episodes, (2) many previous sickness-absence days because of low back pain, (3) short intervals between previous episodes, and (4) an aggravated course of a previous episode. This indicates that the more severe the back problem, the greater the risk of recurrent episodes. Although these studies give some information about the risk of recurrent low back pain, we do not know in an individual patient how great that risk is. Nor do we know precisely how to reduce that risk.

Keywords

Back Pain Sickness Absence Recurrent Episode Previous Episode Back Problem 
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. Bergquist-Ullman M, Larsson U (1977) Acute low back pain in industry. A controlled prospective study with special reference to therapy and confounding factors. Acta Orthop Scand [Suppl] 170: 1–117Google Scholar
  2. Biering-Sorensen F (1983) The prognostic value of the low back history and physical measurements. Doctoral Dissertation, University of Copenhagen, DenmarkGoogle Scholar
  3. Troup JDG, Martin JW, Lloyd DCEF (1981) Back pain in industry. A prospective survey. Spine 6: 61–69Google 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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