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[How is the general practitioner managing the back pain?].

Erik L Werner1, Even Laerum, Camilla Ihlebaek

  • 1Nasjonalt Ryggnettverk Formidlingsenheten KGR, Ullevål universitetssykehus 0407 Oslo. erik.werner@c2i.net

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|October 5, 2002
PubMed
Summary

Family doctors often prescribe medication and sick leave for low back pain patients. Diagnostic imaging referrals, like X-rays, exceeded Norwegian guidelines, impacting patient work activity.

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Area of Science:

  • General Practice
  • Musculoskeletal Health

Background:

  • Low back pain is a prevalent condition in general practice, incurring significant healthcare costs.
  • Understanding current treatment patterns is crucial for improving patient outcomes and resource allocation.

Purpose of the Study:

  • To investigate the treatment modalities employed by family doctors for patients experiencing low back pain.
  • To assess adherence to established Norwegian guidelines for low back pain management.

Main Methods:

  • A survey of family doctors in Aust-Agder county over a two-week period in 2001.
  • Data collection included patient demographics, treatment interventions, and physician characteristics.

Main Results:

  • 53% of invited doctors participated, registering 220 low back pain patients.

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  • Common treatments included clinical examination (81%), prescriptions (79%), and referrals to specialists (31%), physiotherapists (32%), and chiropractors (11%).
  • A significant proportion (40%) were referred for X-ray or CT, exceeding recommended guidelines, with only 24% maintaining work activity.

    • Conclusions:

    • Current family doctor practices for low back pain often involve medical treatment and sick leave.
    • Referral patterns for diagnostic imaging, particularly X-rays, deviate from Norwegian guidelines.
    • Further research is needed to optimize low back pain management and align with evidence-based recommendations.