Recurrent Back Pain and its Prediction

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Abstract
Nine hundred and thirty-six people were interviewed and examined at work after episodes of back and sciatic pain. Though all had returned to work only 29.7 per cent were free of symptoms. Seven hundred and ninety were followed up by a postal questionnaire 12 months later, the response rate being 86.3 per cent. A total of 49-1 per cent reported that they sought further treatment for back pain in the year after being seen; 43.3 per cent reported further sickness-absence; and 11.9 per cent received treatment at a hospital. Analysis of the data from the initial interview and examination revealed four factors and five clinical signs all with statistically significant predictive value. When more than one such factor of positive clinical sign were present, they had an additive effect. Clinical examination on return to work after back pain is therefore of potential prognostic value in occupational medical practice.

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