Deyo and Weinstein’s 2001 low back pain tutorial
Nine articles on PainSci cite Deyo 2001: 1. Reviews of Pain Professions 2. The Complete Guide to Trigger Points & Myofascial Pain 3. (Almost) Never Use Ice on Low Back Pain! 4. The Complete Guide to Low Back Pain 5. The Complete Guide to Patellofemoral Pain Syndrome 6. A Historical Perspective On Aches ‘n’ Pains 7. Your Back Is Not Out of Alignment 8. MRI and X-Ray Often Worse than Useless for Back Pain 9. Massage Therapy Kinda, Sorta Works for Back Pain
PainSci commentary on Deyo 2001: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
Although it’s getting old, this remains an excellent tutorial for health professionals, offering a thorough and sensible survey of current medical knowledge about low back pain. Deyo and Weinstein are strongly critical of overmedicalization and excessive imaging and surgery for low back pain, and emphasize the favourable prognosis for most back pain, the poor correlation between imaging results and symptoms, and the absence of any clear pathophysiological mechanism to explain most low back pain. All of their key points have been reinforced by scientific evidence ever since.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Inciting events associated with lumbar disc herniation. Suri 2010 Spine J.
- Prediction of an extruded fragment in lumbar disc patients from clinical presentations. Pople 1994 Spine (Phila Pa 1976).
- Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study. Konstantinou 2015 BMC Musculoskelet Disord.
- Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial. Kuyken 2022 Evid Based Ment Health.
- No long-term effects after a three-week open-label placebo treatment for chronic low back pain: a three-year follow-up of a randomized controlled trial. Kleine-Borgmann 2022 Pain.