Abstract

Ed Maurits W van Tulder, Bart W Koes, Lex M Bouter EMGO Institute, Amsterdam, 75 guilders, pp 285 ISBN 90 5669 011 6 Faced with the complex nature of low back pain, general practitioners and their patients focus on two basic questions. Is there a serious cause? If not, will any treatment help? Faced with rising costs, the policy makers focus on a different question: do any treatments reduce recurrence, chronicity, and work loss? This Dutch report adds the question: what can science contribute? The answer, so far, seems to be not much. General practitioners screen for serious causes of low back pain by history, examination, investigation, and the passage …

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