Involves the lumbar spine and the lower extremities. Constitutional symptoms, mucocutaneous lesions of the mouth, genitals, palms, soles, and nails. MRI may identify spinal metastasis in patients who have normal radiographs and bone scans. Start low and go slow. Highly structured, interdisciplinary, intensive.
Some studies show up to twice the return to work rates.
Behavior oriented, multidisciplinary. Morbid obesity and smoking increase the risk of low back problems. Isometric lifting strength and cardiovascular fitness are not predictive Training, education, and ergonomic intervention not proven to reduce risk Job dissatisfaction has a great impact on low back disability. Lower Back Pain. Differential diagnosis .