OBJECTIVES: To describe the course of acute low back pain and sciatica and to identify clinically important prognostic factors for these conditions. DESIGN: Systematic review. DATA SOURCES: Searches of Medline, Embase, Cinahl, and Science Citation Index and iterative searches of bibliographies. MAIN OUTCOME MEASURES: Pain, disability, and return to work. RESULTS: 15 studies of variable methodological quality were included. Rapid improvements in pain (mean reduction 58% of initial scores), disability (58%), and return to work (82% of those initially off work) occurred in one month. Further improvement was apparent until about three months. Thereafter levels for pain, disability, and return to work remained almost constant. 73% of patients had at least one recurrence within 12 months. CONCLUSIONS: People with acute low back pain and associated disability usually improve rapidly within weeks. None the less, pain and disability are typically ongoing, and recurrences are common.
OBJECTIVES: To describe the course of acute low back pain and sciatica and to identify clinically important prognostic factors for these conditions. DESIGN: Systematic review. DATA SOURCES: Searches of Medline, Embase, Cinahl, and Science Citation Index and iterative searches of bibliographies. MAIN OUTCOME MEASURES: Pain, disability, and return to work. RESULTS: 15 studies of variable methodological quality were included. Rapid improvements in pain (mean reduction 58% of initial scores), disability (58%), and return to work (82% of those initially off work) occurred in one month. Further improvement was apparent until about three months. Thereafter levels for pain, disability, and return to work remained almost constant. 73% of patients had at least one recurrence within 12 months. CONCLUSIONS:People with acute low back pain and associated disability usually improve rapidly within weeks. None the less, pain and disability are typically ongoing, and recurrences are common.
Authors: Silje Endresen Reme; William S Shaw; Ivan A Steenstra; Mary Jane Woiszwillo; Glenn Pransky; Steven J Linton Journal: J Occup Rehabil Date: 2012-12
Authors: Steven J Linton; Doug Gross; Izabela Z Schultz; Chris Main; Pierre Côté; Glenn Pransky; William Johnson Journal: J Occup Rehabil Date: 2005-12
Authors: Benjamin W Friedman; David Esses; Clemencia Solorzano; Hong K Choi; Michael Cole; Michelle Davitt; Polly E Bijur; E J Gallagher Journal: Spine (Phila Pa 1976) Date: 2008-08-15 Impact factor: 3.468