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Updated: Oct 4, 2025

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
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Primary care providers' experiences treating low back pain.

Sondos Al Sad1, Amanda R Start2

  • 1The Ohio State University College of Medicine, Columbus, OH, USA.

Journal of Osteopathic Medicine
|February 7, 2022
PubMed
Summary

Primary care providers show a knowledge gap and gender bias in managing low back pain (LBP). This impacts patient counseling and care, highlighting a need for further investigation into sex-based differences in LBP.

Keywords:
clinical expertsgender impactlow back pain

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Area of Science:

  • Primary Care
  • Health Services Research
  • Sex Differences in Health

Background:

  • Low back pain (LBP) is a prevalent condition managed in primary care settings.
  • Understanding the impact of biological sex on LBP management is crucial for equitable healthcare.
  • Existing literature lacks comprehensive evaluation of gender-based approaches to LBP in US ambulatory care.

Purpose of the Study:

  • To investigate primary care provider (PCP) experiences and practice patterns concerning LBP in female versus male patients.
  • To identify potential knowledge gaps and biases in how PCPs manage LBP based on patient sex.
  • To explore differences in counseling strategies employed by PCPs for male and female LBP patients.

Main Methods:

  • A cross-sectional study design was employed using convenience sampling.
  • An anonymous 27-item online survey was distributed to PCPs in Ohio.
  • Data from 58 respondents were analyzed using bivariate and multivariate statistical methods.

Main Results:

  • A high percentage of PCPs (approx. 90%) reported experiencing LBP themselves.
  • Most PCPs did not agree that LBP presentation differs between sexes.
  • PCPs were more likely to counsel females on pelvic floor exercises and home chores, reflecting potential gender role bias, though pelvic symptom assessment was suboptimal.

Conclusions:

  • A significant knowledge gap exists among PCPs regarding the impact of biological sex on LBP.
  • Gender role biases may influence counseling for occupational and domestic tasks in LBP patients.
  • Further research is recommended to address these disparities and improve LBP management for all patients.