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It is estimated that ∼6.5% of adults will consult with back pain over a 1 year period, with only 25% of these consulters having undergone complete recovery in terms of pain and disability after 12 months.
Two UK surveys report the lifetime prevalence of back pain as 59% [ 1, 2] and 7% of the adult population consult with back pain in any one year [ 3].
Men were twice more likely to consult for a musculoskeletal complaint than women (OR=2.0 (95% CI 1.76 to 2.48)); specifically, younger, adult and middle-aged men (9 64 years) were twice as likely to consult with back pain than younger, adult and middle-aged women (OR=2.2 (95% CI 1.8 to 2.8)) (table 3).
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All 259 patients aged 30 59 years who consulted with back pain at four UK general practices from March to June 2001 were randomly allocated to receive either a traditionally or chronologically structured self-completion questionnaire.
10 The original study identified people aged 30 59 years consulting with back pain at one of five general practitioners in North Staffordshire, UK, during 2001 2002.
A significant body of research has developed in back pain with many studies focusing on biopsychosocial factors which inform the onset of back pain (e.g. [ 5- 7]) and the likely prognosis of patients consulting with back pain (e.g. [ 8- 11]).
Compared to other primary care research cohorts consulting with back pain with or without leg pain, only 13.9%% in the ATLAS cohort were at low risk of future disability, whereas the majority (56.8 %) of patients consulting their GPs with back pain with or without leg pain/sciatica are at low risk [ 1], this reduces to 26%% for patients receiving physiotherapy care for the same problems [ 33].
The population prevalence estimates in this study are minimum values, with two assumptions: that none of the non-responders to the questionnaire had IBP or by extension axSpA, and that the 22.4 % of patients who had consulted with back pain included all the cases of axSpA (diagnosed and undiagnosed) in the practice.
The UK BEAM pragmatic trial estimated the effect of adding exercise classes, a spinal manipulation package (a combination of several manual techniques), or spinal manipulation followed by exercise, to "best care" in general practice for patients consulting with back pain [ 15].
Sedin returned to Vancouver, British Columbia, this week and consulted with several back specialists.
Nicolás Sánchez, who is from San Miguel Comitlipa, in the state of Guerrero, says that he spends several hours a week coordinating with other committee members, raising money and consulting with people back home.
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