title: Treatment of acute low back pain in Wisconsin: results of the State Medical Society's Medical Outcomes Research Project.
abstract: BACKGROUND
  Acute low back pain is the fifth most common reason for physician visits. Multiple treatment options are available, but not all physicians and patients are satisfied with the results. This study evaluated treatment outcomes from patients' perspectives using standardized measures.
  
  
  METHODS
  368 patients with acute low back pain were enrolled in the study. Only 128 participants (35%) completed all 4 health outcome questionnaires (administered at baseline, 6 weeks, 3 months, and 1 year).
  
  
  RESULTS
  Most participants reported improved health at 1-year follow-up,, with the most significant gains achieved by 3 months. However, 40% were not satisfied with their outcome. Patients with radicular low back pain scored lower on health outcome measures than patients without radicular symptoms.
  
  
  CONCLUSIONS
  A sizeable percentage of patients with acute low back pain progress to chronic pain despite therapeutic intervention. Patients with radiculopathy may require nonstandard treatment to avoid unfavorable outcomes.
authors.affiliation: Department of Physical Medicine & Rehabilitation, Marshfield Clinic, USA.
authors.forename: J C
authors.initials: JC
authors.lastname: Reeser
authors.forename: S M
authors.initials: SM
authors.lastname: Wiegmann
authors.forename: N
authors.initials: N
authors.lastname: Hoover
authors.forename: N
authors.initials: N
authors.lastname: Oldridge
authors.forename: D
authors.initials: D
authors.lastname: Phillips
authors.forename: T
authors.initials: T
authors.lastname: Bjelland
authors.forename: L
authors.initials: L
authors.lastname: Scarpinato
authors.forename: W
authors.initials: W
authors.lastname: Treacy
authors.forename: C P
authors.initials: CP
authors.lastname: Helstad
authors.forename: J
authors.initials: J
authors.lastname: Stoll
mesh_terms: D000208:Acute Disease; D000328:Adult; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*; D008297:Male; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D014922:Wisconsin