The RCGP - Clinical and Special Projects, Clinical Guidelines, Acute Low Back Pain. Contents, Index page


Clinical and Special Projects

Figure 2

Biopsychosocial Assessment


  • review diagnostic triage
      nerve root problem
      serious spinal pathology
  • ESR and plain X-ray


  • attitudes and beliefs about back pain
      fear avoidance beliefs about activity and work
      personal responsibility for pain and rehabilitation
  • psychological distress and depressive symptoms
  • illness behaviour


  • family
      attitudes and beliefs about the problem
      reinforcement of disability behaviour
  • work
      physical demands of job
      job satisfaction
      other health problems causing time off or job loss
      non-health problems causing time off or job loss

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