At 00:13 20/10/98 +0100, you wrote:
>Does anyone have a reference for recent research completed in south
>Manchester (UK) regarding recovery rates from low back pain. I
>understand that research indicated a high percentage of patients who
>attended their GP with back pain were still suffering 12 months later,
>contradicting the 80% spontaneous recovery figure so regularly quoted.
>Thanks
>--
>john spencer
>
>
Dear John,
There's a whole series of papers from the South Manchester back pain study
published from 1995 onwards in Spine, BMJ and J Rheumatology. The most
recent one relating to course of LBP is;
Croft PR, Macfarlane GJ, Thomas E, Papageorgiou AC, Silman AJ. The outcome
of low back pain in general practice. British Medical Journal 1998 316:
1356-1359.
Along similar lines, but based in the USA;
Von Korff M, Deyo RA, Cherkin D, Barlow W. 1993. Back pain in primary care.
Outcomes at 1 year. Spine 1993 18: 855-862.
Von Korff M. 1994. Studying the natural history of back pain. Spine 1994
19: 2041S-2046S
Von Korff M, Saunders K. 1996. The course of back pain in primary care.
Spine 1996 21: 2833-2839.
All the above studies do indeed challenge the notion of most acute episodes
of back pain spontaneously resolving in favour of a recurrent pattern of
pain and restricted activity (but often accompanied by an early spontaneous
resolution of seeking help from health care professionals!)
Hope this of help
Sincerely
George Peat
Research Physio
Sandy Robinson
Centre Co-ordinator
Manchester & Salford Pain Centre
Ladywell Hospital
Eccles New Road
Salford
M5 2AA
Phone:0161-787-4136
Fax:0161-787-1929
e-mail:[log in to unmask]
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