While I agree with the general premise that many musculoskeletal conditions can
appear to resolve with or without therapeutic interventions here is another study
that illustrates that the sequela of many injuries can have long term
implications.
Joint injury in young adults and risk for subsequent knee and hip osteoarthritis.
Gelber AC, Hochberg MC, Mead LA, Wang NY, Wigley FM, Klag MJ Ann Intern Med. 2000
Sep 5;133(5):321-8.
http://www.annals.org/issues/v133n5/full/200009050-00007.html
John Spencer wrote:
> In message <[log in to unmask]>, [log in to unmask] writes
> >You also may have read research that the vast majority of non traumatic back
> >complaints resolve themselves without therapeutic intervention by
> >physiotherapists or chiropractors.
>
> Mel, interesting area of debate this. Do you have any research showing
> that this is true. What do you mean by 'resolve'?
>
> I am not saying that you are wrong but there is a recent study carried
> out in Manchester (The South Manchester Back Pain Study), published in
> the British Medical Journal (Vol 316 Pg 1356ff "Outcome of low back pain
> in general practice: a prospective study").
>
> This study investigated:
>
> "the claim that 90% of episodes of low back pain that present to
> general practice have resolved within one month".
>
> They looked at 490 subjects over a 12 month period and found that
> although 90% of individuals who presented to GPs (Doctors) with low back
> pain (LBP) failed to present again in the next 12 months it could not be
> assumed that the LBP had resolved.
>
> In fact a 12 month follow up suggested that only 25% were pain-free and
> fully functioning again.
>
> The idea that most LBP resolves spontaneously may be based on comments
> from Doctors that the vast majority of LBP sufferers that present in
> their clinics do not present a second time and therefore are assumed to
> have recovered.
>
> --
> John Spencer
--
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Douglas M. White, PT, OCS
Physical Therapist, Consultant
191 Blue Hills Parkway
Milton, MA USA 02186
P: 617.696.1974
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http://DouglasWhite.tripod.com
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