Lecture 13 May 10 - Dr. Barbara A. Mansholt 80% of adults...

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Unformatted text preview: Dr. Barbara A. Mansholt 80% of adults have LBP at some point in their lives Adolescents with LBP are more likely to have problems as adults 25% of patients with LBP report sciatica Lifetime prevalence of disc herniation is between 1-5% Costs $100 billion in 2000 both directly and indirectly Only 0.5% of patients with LBP elect to have surgery 39% of LBP is due to disc disruption 5% due to herniation 15-40% due to facet involvement 4% compression fracture 3% spondylolisthesis 0.3% ankylosing spondylitis 1% malignant neoplasms 0.01% spinal infection Spinal stenosis %? Chiropractic is effective UCLA Low-Back Pain Study Satisfaction rated higher than medical care Information and advice necessary Rand Study Agency for Health Care Policy and Research (AHCPR) European Spine Journal Spine Journal History Screen for red flags Severe trauma Fever or recent bacterial infection Saddle anesthesia Severe neurologic complaints Recent related bladder dysfunction Unexplained weight loss Prior cancer IV drug abuse or immunosuppression...
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Lecture 13 May 10 - Dr. Barbara A. Mansholt 80% of adults...

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