Recurrence and Care Seeking After Acute Back Pain

Abstract

The recurrence of low back pain is common. Severe disability is rare. Patients who had sought care from chiropractors are more likely to return for recurrences than patients who had initially sought care from MDs.

Low Back Pain

“…21 In that same study, 2 months was the median time to another episode of low back pain and 60 days was the median time to experience low back pain in the year. Other studies have reported lower, but still substantial, recurrence rates ranging from to 20% - 35% (between 6 – 22 months) 40 to 45% (3 years). 6 …”

Recurrence of sickness absence episodes certified by general practitioners in the UK

“…[18] We found that back problems were a significant predictor of same-diagnosis recurrence. This is not surprising considering that low back pain is known to run a recurrent course in the majority of patients, [21][22][23] leading to repeated episodes of pain that usually result in more time lost from work. [24] While our study appears to conflict with the findings of other recurrence studies (mostly conducted outside the UK) in identifying mental disorders rather than musculoskeletal problems as the main diagnostic predictor of recurrent episodes, this may only reflect the predominant role that common mental health problems (such as depression, anxiety and stress) play in all sickness certification and claims for long-term disability benefits in the UK.…”

Photo‐Crosslinkable Poly(trimethylene carbonate)‐Based Macromers for Closure of Ruptured Intervertebral Discs

“…Although CQ alone can be an effective initiator in some systems, the hydrogen abstraction reaction of triplet 3 CQ Ã with amines such as DMPT to generate free radicals proceeds much more rapidly. [22,23] In Figure 2, the photo-crosslinking kinetics of the macromers, as determined by following the double bond conversion by FTIR in time, are shown.…”

“…[1][2][3][4] One of the main causes of LBP is degenerative disc disease (DDD) characterized by partial herniation of the nucleus pulposus (NP) through a ruptured annulus fibrosus (AF). This will eventually lead to intervertebral disc degeneration (IVDD).…”