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Spine Institute
Glendale Adventist Medical Center
1500 E. Chevy Chase Drive, Suite 401B
Glendale, CA 91206
Ph: (818) 863-4444






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Advice or Exercise? The Low-Cost Way to Stabilize Your Back

Posted on: 07/15/2005
Which is better for treating low back pain (LBP) in the long-run? Manipulative therapy and exercise along with your doctor's advice or just the doctor's information and counsel? This is the question addressed in this study reported by scientists in Finland. They also looked at which program cost more money.

Patients with LBP lasting more than four months were included. Group one was the "combined group." They received treatment from a physical therapist once a week for four weeks. Treatment included manipulation and stabilizing exercises. They also received a booklet explaining the possible causes of back pain.

The second group received the same instruction. They were encouraged to stay active instead of having passive treatment. All patients in both groups were followed for a full two years.

The authors report good results in both groups. The combined group had higher patient satisfaction compared to the consultation group. Although the consultation group was slower to get better, in the end, participants reducedtheir use of health care services. They also used less sick leave.

The authors conclude that most patients with LBP do well with their doctor's advice. It costs less and its effects last a long time.

References:
Leena Niemistö, MD, et al. Cost-effectiveness of Combined Manipulation, Stabilizing Exercises, and Physician Consultation Compared to Physician Consultation Alone for Chronic Low Back Pain: A Prospective Randomized Trial with 2-Year Follow-up. In Spine. May 15, 2005. Vol. 30. No. 2. Pp. 1109-1115.

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