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Diagnosing Low Back Pain

To the Editor:

The spine is widely considered the most difficult region of the body to diagnose and treat in orthopedic physical therapy. There have been many different attempts at dealing with or simplifying this problem such as working only with extremities, treating without a diagnosis, and using set protocols for all back pain. Recent attempts at dealing with the difficulty of diagnosing spinal pathology, such as that presented by Carl DeRosa and James Porterfield in their article "A Physical Therapy Model for the Treatment of Low Back Pain" (Phys Ther. 1992;72: 261–272), have continued on the theme of simplifying a complicated process.

In their article, DeRosa and Porterfield support a system of low back pain (LBP) classification set forth by the Quebec Task Force on Spinal Disorders. This system was designed in response to the difficulty of making a specific pathological diagnosis of LBP....

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Physical Therapy 1992 72: 622-623. [Abstract] [PDF]