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Best Pract Res Clin Rheumatol. 2013 Oct;27(5):601-12. doi: 10.1016/j.berh.2013.10.004. Epub 2013 Oct 10.

Trajectories of low back pain.

Author information

1
Unit of Intervention & Implementation Research, Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, S-171 77 Stockholm, Sweden; Research Department, Spinecenter of Southern Denmark, Hospital Lillebælt and Institute of Regional Health Research, University of Southern Denmark, Østre Hougvej 55, DK-5500 Middelfart, Denmark. Electronic address: iben.axen@ki.se.

Abstract

Low back pain is not a self-limiting problem, but rather a recurrent and sometimes persistent disorder. To understand the course over time, detailed investigation, preferably using repeated measurements over extended periods of time, is needed. New knowledge concerning short-term trajectories indicates that the low back pain 'episode' is short lived, at least in the primary care setting, with most patients improving. Nevertheless, in the long term, low back pain often runs a persistent course with around two-thirds of patients estimated to be in pain after 12 months. Some individuals never have low back pain, but most have it on and off or persistently. Thus, the low back pain 'condition' is usually a lifelong experience. However, subgroups of patients with different back pain trajectories have been identified and linked to clinical parameters. Further investigation is warranted to understand causality, treatment effect and prognostic factors and to study the possible association of trajectories with pathologies.

KEYWORDS:

Course; Episode; Low back pain; Repeated measurements; Trajectory

PMID:
24315142
DOI:
10.1016/j.berh.2013.10.004
[Indexed for MEDLINE]

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