In 70 per cent of cases, low back pain has no obvious aetiology or pathogenesis, so what makes the back hurt? Most back pain is actually muscular or ligamentous in origin, rather than skeletal, and so radiography, including computed tomography (CT), will usually provide no meaningful information, despite the emphasis placed on it by both doctors and society. Ultrasonography or magnetic resonance imaging (MRI), however, may show a soft tissue abnormality. Close clinical examination may often reveal the site of the pathology and the opportunity for cure. "Fast Facts - Low Back Pain" describes the causes and clinical assessment of low back pain, and aims to provide guidance on making appropriate therapeutic choices to gain optimal relief for each individual back pain patient.
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Low back pain is one of the most common presenting complaints, can be extremely debilitating and carries enormous economic costs. In 70% of cases, however, no obvious cause is apparent. However, the proper use of appropriate diagnostic methods and skilled clinical examination can often reveal the site of the pathology and offer an opportunity for relief. Fast Facts: Low Back Pain is the work of two leading experts which equips the general healthcare professional with the knowledge and skill required to accurately assess each individual patient and offer the appropriate therapeutic choices for maximum pain relief. Reviews the causes and clinical assessment of low back pain Provides expert guidance on the appropriate therapeutic approach for optimal pain relief Includes a set of therapeutic exercises to assist patients in the avoidance of back strain Contents Causes of low back pain; Clinical assessment; Investigations; Conservative management; Injections and surgery; Future prospects; 5-minute Back Saver program.
Robert L. Swezey Director, The Swezey Institute Santa Monica, California And Clinical Professor of Medicine University of California at Los Angeles USA Andei Calin Consultant Rheumatologist Royal National Hospital for Rheumatic Diseases Bath, UK
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