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<< An Evidence-Based Approach To The Evaluation And Treatment Of Low Back Pain In The Emergency Department

Critical Appraisal Of The Literature

The study of low back pain is plagued by the fact that it is not a single pathologic entity. In addition, pain is a subjective complaint that can be measured only indirectly, and these measurements are influenced by cognitive and behavioral factors as well as secondary gains. There are many back pain treatments available, and the randomized controlled trials available do not necessarily compare 1 treatment with placebo; instead, 1 treatment is compared with a multitude of other interventions, adding difficulty to making pooled data samples that are typical of systematic reviews and meta-analyses.

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