Articles: low-back-pain.
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A mailed survey of 142 practicing physicians (63 orthopedic spine surgeons and 79 family physicians) inquiring about their expertise and experience with chronic low back pain, their pain attitudes and beliefs, and recommendations about the appropriate level of function for chronic back pain patients. ⋯ Physicians' recommendations for activity and work to patients with chronic back pain vary widely and frequently are restrictive. These recommendations reflect personal attitudes of the physicians as well as factors related to the patients' clinical symptoms.
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To examine the consistency of internist judgments about low back pain; to examine the influence of different clinical factors on those judgments. ⋯ While there is little agreement among internists regarding judgments of low back pain, individual physicians hold consistently to their opinions. These findings suggest that management of low back pain may be idiosyncratic, potentially compromising patient care.
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Randomized Controlled Trial Clinical Trial
Training in back care to improve outcome and patient satisfaction. Teaching old docs new tricks.
We examined clinical outcomes and patient perceptions of back care given by physicians before and after an intensive course of training in back care and limited manual therapy techniques. ⋯ A structured clinical approach to low back care may bring modestly improved clinical outcomes and patient satisfaction.
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Prospective case series with historical controls (normative data). ⋯ Levels of aerobic fitness in patients with chronic low back pain are comparable with those in healthy subjects.