Spine
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Review Comparative Study
The cochrane review of advice to stay active as a single treatment for low back pain and sciatica.
A systematic review was conducted within the Cochrane Collaboration Back Review Group. ⋯ The best available evidence suggests that advice to stay active alone has little beneficial effect for patients with acute, simple low back pain, and little or no effect for patients with sciatica. There is no evidence that advice to stay active is harmful for either acute low back pain or sciatica. Because there is no considerable difference between advice to stay active and advice for bed rest, and there are potential harmful effects of prolonged bed rest, it is reasonable to advise people with acute low back pain and sciatica to stay active. These conclusions are based on single trials.
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Review Comparative Study
The cochrane review of advice to stay active as a single treatment for low back pain and sciatica.
A systematic review was conducted within the Cochrane Collaboration Back Review Group. ⋯ The best available evidence suggests that advice to stay active alone has little beneficial effect for patients with acute, simple low back pain, and little or no effect for patients with sciatica. There is no evidence that advice to stay active is harmful for either acute low back pain or sciatica. Because there is no considerable difference between advice to stay active and advice for bed rest, and there are potential harmful effects of prolonged bed rest, it is reasonable to advise people with acute low back pain and sciatica to stay active. These conclusions are based on single trials.
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Review Case Reports
Acute progression of spondylolysis to isthmic spondylolisthesis in an adult.
Acute progression of spondylolysis to spondylolisthesis in an adult without degenerative disc disease at the slip level is reported. ⋯ This case is important because it illustrates the potential for acute progression of spondylolisthesis with minimal trauma. A patient with known spondylolysis who sustains acute severe exacerbation of his or her back pain should have repeat standing radiographs.