Sylejman Miftari and Naser Lahu

Background: Low back pain (LBP) is one of the leading causes of disability and has a major socioeconomic impact [1]. The majority of the cost associated with LBP is generated by a small percentage of patients whose condition proceeds to chronicity [2]. Acute low back pain with or without sciatica usually is self-limited and has no serious underlying pathology [3]. Lower back pain is denoted by the pain and discomfort occurred in between the costal margin and inferior gluteal folds. Often, this pain is also accompanied by varied level of leg pain. Acute incidences of low back pain persist for less than 6 weeks. [4]. A more thorough evaluation is required in selected patients with “red flag” findings associated with an increased risk of cauda equina syndrome, cancer, infection, or fracture. These patients also require closer follow-up and, in some cases, urgent referral to a surgeon [5]. Low back pain affects a reported 5.6 percent of U.S. adults each day and 18 percent report having had back pain in the previous month. The lifetime prevalence of low back pain is estimated to be at least 60 to 70 percent. Although most patients self-treat back pain and only 25 to 30 percent seek medical care[5-9]. The goals of physical therapy are to decrease back pain, increase function, and teach the patient a maintenance program to prevent future back problems [10]. Our practice has found many patients that are with these symptoms and signs, and this is the clinical reason for the study and the treatment of a problem that is so frequent and defiant.

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