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Non-specific low back pain

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Balagué, Federico, Mannion, Anne F, Pellisé, Ferran, Cedraschi, Christine·2012·The Lancet

Abstract

Non-specific low back pain has become a major public health problem worldwide. The lifetime prevalence of low back pain is reported to be as high as 84%, and the prevalence of chronic low back pain is about 23%, with 11-12% of the population being disabled by low back pain. Mechanical factors, such as lifting and carrying, probably do not have a major pathogenic role, but genetic constitution is important. History taking and clinical examination are included in most diagnostic guidelines, but the use of clinical imaging for diagnosis should be restricted. The mechanism of action of many treatments is unclear, and effect sizes of most treatments are low. Both patient preferences and clinical evidence should be taken into account for pain management, but generally self-management, with appropriate support, is recommended and surgery and overtreatment should be avoided.

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Metadata

Authors
Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C.
Venue
The Lancet
Publisher
Elsevier BV
Published
2012-02
Volume
379
Issue
9814
Pages
482-491
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W1977849332
Cited by
1,814
References
12
FWCI
41.73
Type
journal article
Language
en
Open access
green

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Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. (2012). Non-specific low back pain. The Lancet. https://doi.org/10.1016/s0140-6736(11)60610-7

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