Low back pain - a diagnostic approach

ABSTRACT BACKGROUND AND OBJECTIVES: Low back pain is a problem that affects 80% of adults at some point in life, it is among the top 10 primary causes of consultation with internists and, every year, workers are absent from work for more than seven days due to this disease, causing a great impact i...

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Main Authors: Darlan Castro Almeida, Durval Campos Kraychete
Format: Article
Language:English
Published: Sociedade Brasileira para o Estudo da Dor 2017-04-01
Series:Revista Dor
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132017000200173&tlng=pt
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author Darlan Castro Almeida
Durval Campos Kraychete
author_facet Darlan Castro Almeida
Durval Campos Kraychete
author_sort Darlan Castro Almeida
collection DOAJ
description ABSTRACT BACKGROUND AND OBJECTIVES: Low back pain is a problem that affects 80% of adults at some point in life, it is among the top 10 primary causes of consultation with internists and, every year, workers are absent from work for more than seven days due to this disease, causing a great impact in productivity and economy. The objective of this study was to provide the clinician working at the primary care with an adequate approach to the patient with chronic low back pain, emphasizing the differential diagnosis of this disease. CONTENTS: The etiological characterization of low back pain is a process that requires a propaedeutic approach that includes the clinical history, physical and complementary exams. The approach to low back pain of mechanical origin, and others less common such as those with a neuropathic component or resulting from inflammation, infection or neoplasia was developed, based on the literature. CONCLUSION: The diagnosis of low back pain is essential, yet challenging for the primary care physician. Most patients with back pain can be treated at the primary care setting, provided that the GP has the proper knowledge to elaborate the differential diagnosis of this disease.
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spelling doaj.art-84a7925c948847588124d16be907b4e52022-12-22T04:12:43ZengSociedade Brasileira para o Estudo da DorRevista Dor2317-63932017-04-0118217317710.5935/1806-0013.20170034Low back pain - a diagnostic approachDarlan Castro AlmeidaDurval Campos KraycheteABSTRACT BACKGROUND AND OBJECTIVES: Low back pain is a problem that affects 80% of adults at some point in life, it is among the top 10 primary causes of consultation with internists and, every year, workers are absent from work for more than seven days due to this disease, causing a great impact in productivity and economy. The objective of this study was to provide the clinician working at the primary care with an adequate approach to the patient with chronic low back pain, emphasizing the differential diagnosis of this disease. CONTENTS: The etiological characterization of low back pain is a process that requires a propaedeutic approach that includes the clinical history, physical and complementary exams. The approach to low back pain of mechanical origin, and others less common such as those with a neuropathic component or resulting from inflammation, infection or neoplasia was developed, based on the literature. CONCLUSION: The diagnosis of low back pain is essential, yet challenging for the primary care physician. Most patients with back pain can be treated at the primary care setting, provided that the GP has the proper knowledge to elaborate the differential diagnosis of this disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132017000200173&tlng=ptDiagnosisLow back painPrimary care
spellingShingle Darlan Castro Almeida
Durval Campos Kraychete
Low back pain - a diagnostic approach
Revista Dor
Diagnosis
Low back pain
Primary care
title Low back pain - a diagnostic approach
title_full Low back pain - a diagnostic approach
title_fullStr Low back pain - a diagnostic approach
title_full_unstemmed Low back pain - a diagnostic approach
title_short Low back pain - a diagnostic approach
title_sort low back pain a diagnostic approach
topic Diagnosis
Low back pain
Primary care
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132017000200173&tlng=pt
work_keys_str_mv AT darlancastroalmeida lowbackpainadiagnosticapproach
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