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Previous Volume 352:1891-1898 May 5, 2005 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 49-year-old maintenance worker with a history of depression and previous reports of minor back pain is seen after four months of continuing low back pain. He has remained out of work for fear of worsening the injury. Magnetic resonance imaging (MRI) two weeks after the onset of pain showed only mild degenerative changes in the lumbar region without spinal stenosis or . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation

Imaging

Other Diagnostic Techniques

Psychosocial Factors

Treatment

Pharmacologic Therapy

Nonpharmacologic Therapy

Injections and Neuroablation Procedures

Surgery

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Orthopedic Surgery, Stanford University School of Medicine, Stanford, Calif.

Address reprint requests to Dr. Carragee at the Department of Orthopedic Surgery, Stanford University School of Medicine, R171 Edwards Bldg., Stanford, CA 94305, or at carragee@stanford.edu.

Related Letters:

Persistent Low Back Pain
Singla A. K., Stojanovic M., Barna S., Meyer M. A., Carragee E. J.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:956-957, Sep 1, 2005. Correspondence

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• Haake, M., Muller, H.-H., Schade-Brittinger, C., Basler, H. D., Schafer, H., Maier, C., Endres, H. G., Trampisch, H. J., Molsberger, A. (2007). German Acupuncture Trials (GERAC) for Chronic Low Back Pain: Randomized, Multicenter, Blinded, Parallel-Group Trial With 3 Groups. Arch Intern Med 167: 1892-1898 [Abstract] [Full Text]  
• Cohen, S. P., Shockey, S. M., Carragee, E. J. (2007). The Efficacy of Repeat Intradiscal Electrothermal Therapy. Anesth. Analg. 105: 495-498 [Abstract] [Full Text]  
• Singla, A. K., Stojanovic, M., Barna, S., Meyer, M. A., Carragee, E. J. (2005). Persistent Low Back Pain. NEJM 353: 956-957 [Full Text]