The World Health Organization released a report entitled The Burden of Musculoskeletal Conditions at the Start of the New millennium. The report indicated Low back pain has reached epidemic proportions being reported by about 80% of people at some time in their life. Total costs of musculoskeletal disease in the US in 2000 have been calculated at US$254 billion.
On the treatment front, spinal endoscopic adhesiolysis was found effective in a study reported in Doctor's Guide, as was the IDET Procedure in a study recognized as an outstanding paper by the North American Spine Society.
When spinal fusion is contemplated, another study recommends the use of the Dallas Pain Questionnaire to predict the outcome of spinal fusion surgery. According to the study, "the largest risk factors for inferior outcomes after spinal fusion are the pre-procedure existence of emotional distress, previous surgery and a status of not working."
Take a one hour CME course in the assessment and treatment of low back pain