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身体康复医学评论综述
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN 打印: 0896-2960
ISSN 在线: 2162-6553

身体康复医学评论综述

DOI: 10.1615/CritRevPhysRehabilMed.v11.i2.30
32 pages

Optimizing Outcome in the Injured Worker with Low Back Pain

Scott F. Nadler
Physical Medicine and Rehabilitation, University Rehabilitation Associates, 90 Bergen Street, Suite 3100, Newark, New Jersey 07103
Todd P. Stitik
Physical Medicine and Rehabilitation, University Rehabilitation Associates, 90 Bergen Street, Suite 3100, Newark, New Jersey 07103
Gerard A. Malanga
UMDNJ — Medical School, Kessler Institute for Rehabilitation, Pleasant Valley Way, West Orange, New Jersey 07052

ABSTRACT

Low back pain (LBP) is one of the most common musculoskeletal conditions in the general population. As opposed to injuries with specific, defined pathology, LBP is often incompletely delineated secondary to the complexity and number of structures involved. Consequently, the cost of managing this condition and others has led to the current status of health care in the U.S. Physicians involved in the care of the injured worker face significant challenges in the course of providing successful treatment. Most importantly, physicians must understand the complexity of the workers compensation system, including the roles of the injured worker, employer, case manager, and attorney. Communication and appropriate documentation will improve the management of injured workers, especially in the managed care setting. In addition, taking a sports medicine approach with prompt evaluation and initiation of treatment, active as opposed to passive rehabilitation and early return to work will be essential to successful treatment. Ultimately, the goal of treatment is to improve function with complete eradication of pain important, but not to be emphasized in the program. Following these principles will assist the physician in obtaining a good functional outcome in the injured worker.