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- Title
An evidence-based diagnostic classification system for low back pain.
- Authors
Vining, Robert; Potocki, Eric; Seidman, Michael; Morgenthal, A. Paige
- Abstract
Introduction: While clinicians generally accept that musculoskeletal low back pain (LBP) can arise from specific tissues, it remains difficult to confirm specific sources. Methods: Based on evidence supported by diagnostic utility studies, doctors of chiropractic functioning as members of a research clinic created a diagnostic classification system, corresponding exam and checklist based on strength of evidence, and in-office efficiency. Results: The diagnostic classification system contains one screening category, two pain categories: Nociceptive, Neuropathic, one functional evaluation category, and one category for unknown or poorly defined diagnoses. Nociceptive and neuropathic pain categories are each divided into 4 subcategories. Conclusion: This article describes and discusses the strength of evidence surrounding diagnostic categories for an in-office, clinical exam and checklist tool for LBP diagnosis. The use of a standardized tool for diagnosing low back pain in clinical and research settings is encouraged.
- Subjects
LUMBAR pain; CHIROPRACTIC; CHIROPRACTIC diagnosis; MEDICAL practice; PHYSICAL diagnosis; EVIDENCE-based medicine
- Publication
Journal of the Canadian Chiropractic Association, 2013, Vol 57, Issue 3, p189
- ISSN
0008-3194
- Publication type
Article