The RCGP - Clinical and Special Projects, Clinical Guidelines, Acute Low Back Pain. Contents, Index page
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Figure 3

Risk Factors for Chronicity

  • Previous history of low back pain
  • Total work loss (due to low back pain) in past twelve months
  • Radiating leg pain
  • Reduced straight leg raising
  • Signs of nerve root involvement
  • Reduced trunk muscle strength and endurance
  • Poor physical fitness
  • Self-rated health poor
  • Heavy smoking
  • Psychological distress and depressive symptoms
  • Disproportionate illness behaviour
  • Low job satisfaction
  • Personal problems - alcohol, marital, financial
  • Adversarial medico-legal proceedings
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