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Joint Bone Spine
Volume 73, n° 5
pages 508-513 (octobre 2006)
Doi : 10.1016/j.jbspin.2006.01.005
Received : 10 June 2005 ;  accepted : 27 September 2005
Radiological examination in low back pain patients: Anxiety of the patient? Anxiety of the therapist?

Federico Balagué a, , Christine Cedraschi b
a Clinic of Rheumatology and Service of Physical Medicine and Reeducation, Fribourg Cantonal Hospital, 1708 Fribourg, Switzerland 
b Multidisciplinary Pain Centre, Service of Clinical Pharmacology and Toxicology and Division of General Medical Rehabilitation, Geneva University Hospitals, Switzerland 

Corresponding author. Tel.: +41 26 426 7380; fax: +41 26 426 7387.

A review of the recent literature shows that guidelines on the management of low back pain (LBP) have little impact on the use of radiological imagery. Among the factors which might account for the use of radiological examination, a review of the literature points to some that refer to the patient, others to the clinician and still others to the therapeutic interaction. This leads one to question the importance of radiological examination for both the patient and the physician. The matter at stake in this review is the relationship that may exist between this type of examination and the patient's and/or the physician's anxiety. If these aspects are associated or causally related, this relationship can be two-sided and is thus susceptible to affect the patient, the physician, or both. Some possible keys which emphasize the central role of the therapeutic relationship in this predicament are also reviewed.

The full text of this article is available in PDF format.

Keywords : Low back pain, Radiological examination, Guidelines, Anxiety, Therapeutic relationship

© 2006  Elsevier SAS. All Rights Reserved.
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