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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 2002 Sep;84(5):342–343. doi: 10.1308/003588402760452682

A new sign of inappropriate lower back pain.

Ashley Blom 1, Adrian Taylor 1, Sarah Whitehouse 1, Bill Orr 1, Evert Smith 1
PMCID: PMC2504150  PMID: 12398129

Abstract

The treatment of lower back pain constitutes a major problem for orthopaedic surgeons. Identifying the patients who have a non-organic component to their lower back pain is often difficult. Waddell et al. (Waddell G, McCulloch HA, Kummel E, Venner RM. Non-organic physical signs in low-back pain. Spine 1980; 5: 117-25) devised a set of five physical signs to assist in determining this. These signs are time consuming and can be difficult to interpret. We have developed a sign that is simple, quick and easy to perform. In a set of 94 patients, we have compared our sign with Waddell's signs. Our sign has a highly significant correlation with Waddell's signs (chi2 = 55.093, P < 0.001), and thus we would suggest it as an accurate alternative to Waddell's signs.

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Selected References

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

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