One article on PainSci cites Buchbinder 2009: Complete Guide to Low Back Pain
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
STUDY DESIGN: We conducted an observational study using mailed questionnaires to 3 random samples of general practitioners from Victoria and New South Wales, Australia in 1997, 2000, and 2004.
OBJECTIVE: To determine whether general practitioners' beliefs about low back pain (LBP) differ according to whether they have a special interest in back pain, musculoskeletal, or occupational medicine; and whether these beliefs are modified by having had continuing medical education (CME) about back pain in the previous 2 years.
SUMMARY OF BACKGROUND DATA: Physician surveys continue to demonstrate that general practitioners only partially manage LBP in an evidence-based way. Identified barriers to changing physician behavior, in regard to management of back pain, have included patient factors such as their past back pain experiences and preferences for care as well as physician beliefs about the association of pain and activity; although the influence of physician special interests has not been studied.
METHODS: Back pain beliefs of different subsets (special interests vs. no special interests and CME vs. no CME) were compared using relative risks (RRs) adjusted for state and survey. The analysis was then repeated including all special interests and recent back pain CME in the model.
RESULTS: Responses were received from 3831 general practitioners (overall response rate [RR]: 38.2%). Physicians with a special interest in LBP were more likely to believe that complete bed rest and avoidance of work is appropriate for acute low back pain (RR: 1.89 [95% CI: 1.53-2.33] and 1.55 [95% CI: 1.31-1.83], respectively) and lumbar spine radiographs are useful (RR: 1.36 [95% CI: 1.21-1.51]). The disparity between those with and without a special interest in LBP was still evident after adjusting for the presence of other special interests and recent CME. After adjusting for the presence of other special interests and recent CME, there were no important differences in back pain beliefs between those with and without a special interest in musculoskeletal medicine, while those with a special interest in occupational medicine and those who had received recent CME had better beliefs.
CONCLUSION: A special interest in back pain is associated with back pain management beliefs contrary to the best available evidence. This has serious implications for management of back pain in the community.
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:
- Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Gerhart 2017 Ann Behav Med.
- Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain. Zhou 2020 Sci Rep.
- Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness. Nakale 2018 Foot Ankle Int.
- No Added Benefit of Combining Dry Needling With Guideline-Based Physical Therapy When Managing Chronic Neck Pain: A Randomized Controlled Trial. Stieven 2020 J Orthop Sports Phys Ther.
- Effectiveness of customised foot orthoses for Achilles tendinopathy: a randomised controlled trial. Munteanu 2015 Br J Sports Med.