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Back Pain Research Review
Over 2000 studies reviewed
In 2000 the Swedish Council on
Technology Assessment in Health Care (SBU) appointed an international
project group of 13 people who were charged with reviewing the results from scientific studies published
during the 1990 and earlier. The report contains 21 chapters, 2000
references, and covers 800 pages. Approximately 80% of the studies
referenced have been published since a previous report in 1980. Today,
approximately 25 000 studies on back and neck pain have been identified,
whereof approximately 1000 are randomized and/or controlled studies.
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The
most surprising realization after studying this report is how little
good science there is related the the causes and cures of back pain.
Alot of science but little convincing evidence in most areas under
study. Keep in mind No Evidience does not mean something is not the
cause or is not effective as a treatment, It Does mean that there have
not being adequately designed studies on the issue.
Pain is a signal that something is wrong. Regardless of its location,
pain should be investigated to confirm or eliminate its association
with a specific cause or serious disorder.
Although pain in the low back or neck affects most people at
some time during their lives, it is seldom a sign of serious illness.
In some people, the effects are more severe and more frequent,
but most experience mild effects and only occasionally. Few experience
constant, persistent pain.
To Date Research Has Been Of Little Help
Research seldom explains why or how pain in the low back or
neck originates, or how long it will last, ie, whether it is acute and
temporary or will remain a chronic problem. It can result from
different, but perhaps associated, factors. The relationship of these
factors often remains unknown. Although it is not always possible
to cure back pain, treatment methods are available which can
effectively relieve pain in most people.
Back Pain and Individual Factors
Numerous studies have analyzed whether factors related to the
individual, eg, gender, age, body length, weight, anatomic changes in
the spine, and smoking correlate in any way with back pain. The data
currently available do not reveal any specific, individual risk factors
for back pain.
Most studies find no differences in the risk for back pain, neither
between men and women nor among individuals of different height, weight,
etc.
One Distinguishing Characteristic
The only exception would be the occurrence herniated discs,
resulting in sciatica in people aged 40 to 45 years old.
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