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Review article| Volume 69, ISSUE 10, P880-891, October 1988

Low back disorders: Conservative management

  • Avital Fast
    Correspondence
    Reprint requests to Dr. Fast, Department of PM&R, Nassau County Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554.
    Affiliations
    Department of PM&R, Nassau County Medical Center, East Meadow, NY, USA

    State University of New York at Stony Brook, USA
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      Abstract

      Painful disorders of the low back may arise from a large variety of mechanisms and there is no simple, single solution to them. They have a great social and economic cost in industrialized countries. The major syndromes of low back pain and sciatica are reviewed, including myofascial pain syndromes, disc herniations, radiculopathies, spinal stenosis and facet syndromes. Non-operative management is reviewed, including bed rest, medications, traction, manipulation, external supports, physical modalities, therapeutic exercise, trigger point injection and chemonucleolysis. Prevention should become the main goal of physicians dealing with this multifaceted problem.

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