Evaluation of the peripheral nervous system in disability management: practical aspects in lower back pain

Issue title: Disability Evaluation, Part II

Guest editors: Leonard D. EmondGuest Editor

Article type: Research Article

Authors: Mandel, Steven^{a; *} | Carabelli, Robert A.^b

Affiliations: [a] Neurology and Neurophysiology Association, 125 S. 9th St., Fl200, Philadelphia, PA 19107, USA | [b] 1245 Whitehorse-Mercerville Rd, Suite 424, Hamilton Township, NJ 08619, USA

Correspondence: [*] Corresponding author. Fax: + 1 215 6278208.

Abstract: Lower back pain (LBP) is a common condition with profound economic and social consequences. A conservative, symptomatic, goal-oriented management program is advocated by most, emphasizing pain relief and restoration of functional capacity. Still, LBP is recurrent in approximately 50% of patients and up to 5–10% experience chronic intractable pain. This article describes how to evaluate and rehabilitate the patient with spinal impairment (SI). All is summarized in a diagnostic/treatment algorithm as used in the spine rehabilitation center. Causes of LBP, components of the patient history and physical, diagnostic test usage and management options are summarized in tables for future reference. Lastly, preventative measures are discussed which, when implemented within a treatment program, may prevent future reoccurrences.

Keywords: Disability, Low-back pain, Peripheral nervous system

DOI: 10.3233/BMR-1997-8107

Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 8, no. 1, pp. 45-56, 1997