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Journal of the Royal Society of Medicine logoLink to Journal of the Royal Society of Medicine
. 1994 Apr;87(4):213–214.

Initial assessment and follow-up by a physiotherapist of patients with back pain referred to a spinal clinic.

P G Hourigan 1, C R Weatherley 1
PMCID: PMC1294445  PMID: 8182677

Abstract

To reduce waiting times and costs, a specially trained physiotherapist was employed to review 100 patients with back pain referred by general practitioners (GPs) to a spinal clinic; 78% proved to have a spinal disorder. Only 24% of the original referrals needed to see the surgeon, with 76% being successfully managed by the physiotherapist. Six per cent of referrals were deemed inappropriate and 16% of patients failed to attend. To evaluate the physio-therapist's assessments each case was discussed with the consultant surgeon, and the appropriateness of the management of each patient was similarly investigated. With appropriate training and a good working relationship with the surgeon, a chartered physiotherapist can successfully screen patients in a low back pain clinic, such that the efficiency of the unit is improved by improving the throughput whilst maintaining the same standard of care.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Garfin S. R., Kurz L. T., Harlow S. J., Katz M. M., Weisman M. The effectiveness of a nurse practitioner in screening patients in a spinal disorders clinic. Spine (Phila Pa 1976) 1988 Jan;13(1):121–123. doi: 10.1097/00007632-198801000-00031. [DOI] [PubMed] [Google Scholar]

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