Radiographic significance in low back pain medical examination

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  • KAYAOKA Michiyasu
    独立行政法人労働者健康福祉機構東京労災病院整形外科

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  • 作業関連性（職業性）腰痛　　２００６　　腰痛健診におけるＸ線検査の意義（配置前健診も含めて）
  • 腰痛健診におけるX線検査の意義(配置前健診も含めて)
  • ヨウツウ ケンシン ニ オケル Xセン ケンサ ノ イギ ハイチゼン ケンシン モ フクメテ

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Abstract

It was devised “Occupational health guidelines for the management of low back pain at work” from Ministry of Health, Labour and Welfare. Medical checks are recommended for occupational health management of LBP. It is difficult whether we should examine lumbar X-rays. “X-ray findings have no predictive value for future LBP or disability.” is provided by generally consistent findings in multiple, high quality scientific studies. However, in Japan, study based on a bottom of cooperation of an orthopedist and an occupational health physician, EBM is investigated, and it is not performed almost. An orthopedist makes the system that all occupational health physicians can evaluate a low back pain, and it is important to collect more information.

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