Physical exams commonly lacking in low back pain care

September 21, 2013
Physical exams commonly lacking in low back pain care
Among adults with low back pain visiting a physician, 43 percent report no inspection and 20 percent report no palpation at physician encounters, according to a study published in the Sept. 15 issue of Spine.

(HealthDay)—Among adults with low back pain (LBP) visiting a physician, 43 percent report no inspection and 20 percent report no palpation at physician encounters, according to a study published in the Sept. 15 issue of Spine.

Joel Press, M.D., from Northwestern University in Chicago, and colleagues surveyed 295 patients regarding the types of physicians they had seen for LBP within the past year. For each physician encounter, the patients were asked whether or not they had removed their clothes or put on a gown or shorts during the examination (a proxy for inspection) and whether the provider had placed his or her hands on the patient (a proxy for palpation).

The researchers found that, for the 696 physician visits, inspection was performed at 57 percent of the encounters. Orthopedic surgeons had the highest reported rate of inspection (72 percent), while chiropractors inspected 40 percent of the time (the lowest among specialties). At 80 percent of physician encounters, palpation occurred, with chiropractors having the highest rates (94 percent) and having the lowest (58 percent).

"These numbers reflect a need for improvement among providers who treat patients with LBP," the authors write.

Explore further: Baseline pain severity predicts worse long-term LBP outcomes

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1 / 5 (7) Sep 22, 2013
An eminent example of the calculated use of "science" to cast unflattering aspersions where not deserved.
Note, for example, the technique of introducing "proxies" for whether doctors performed examinations or carried out palpations. Why do they need "proxies" like a hospital gown or touching? It's easy to describe what examination would be like and what palpation would entail! They could ask the patients directly! The purpose is to "draw" illegitimate "conclusions" . For example, chiropractic is never performed with special garb! But the use of the "proxy" is intended to give the gullible the impression that chiropractors never carry out examinations, that they just go ahead and adjust limbs blind! The intention may also be there to convince the dull witted that orthopedists touching a patient's shoulder to walk past them was actual treatment! Orthopedists never treat, they just prescribe heavy medication to mask the pain!

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