ED visits for low back pain are increasing, but the lack of specific guidance for emergency physicians impedes evidence-based care, and adopting primary care recommendations may not be appropriate. The ED sees a different spectrum of low back pain presentations, where physicians are likely to [...]
Femoroacetabular impingement syndrome (FAI) is a painful condition of the hip associated with abnormal morphologic features in the proximal femur, the acetabulum, or both, which produce excessive localised contact (impingement) during hip movements, mainly during flexion and internal rotation.
Low back pain is a global health problem. In Mexico it is one of the most common musculoskeletal conditions as well as the leading cause of disability. This review provides an overview of the challenges and complexities of managing low back pain in Mexico.
Overuse of diagnostic imaging for patients with low back pain remains common. The underlying beliefs about diagnostic imaging that could drive overuse remain unclear. We synthesised qualitative research that has explored clinician, patient or general public beliefs about diagnostic imaging for low back pain.
This paper aimed to evaluate the effects of information format on intentions to request diagnostic imaging for non-specific low back pain in members of the public. It found that framing information to emphasise potential harms from overdiagnosis reduced intention to request diagnostic imaging for low [...]
The 2018 Lancet Low Back Pain Series, comprising 3 papers written by 31 authors from disparate disciplines and 12 different countries, raised unprecedented awareness of the rising global burden of low back pain partly attributable to poor quality health care. Many people with low back [...]
In this Therapeutics article, we present an overview of the evidence on safety and effectiveness of paracetamol in adults for pain relief in primary care settings. We focus on immediate release preparations and discuss practical considerations for its use
The phrase “to over‐egg the pudding” is a terrific analogy for what is now increasingly common in health care: medical overuse. Cooks would know that if you skimp with the eggs a pudding won't hold together and if you use too many eggs the pudding [...]
A recent Lancet series and World Health Organization commission have highlighted the urgent need for all nations to increase attention on delivering appropriate, affordable care for non-communicable diseases (NCDs). One of the most critically under-prioritised NCDs in Nepal is low back pain. Globally, 60.1 million [...]
The Viewpoint by Dr Wallis and colleagues1 suggested that there is a limited role for randomized trials in establishing the effectiveness of procedural interventions. Instead the authors suggested that patients, physicians, and payers might need to take a “leap of faith” regarding robotic surgery and [...]