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The severity of an acute traumatic event varies widely, from twisting one's back to being involved in a motor vehicle collision. For individuals older than 45 years, mechanical LBP is the third most common cause of disability, and a careful history and physical examination are vital to evaluation, treatment, and management. Treatment included workplace intervention involving participatory ergonomics, as well as a graded activity program. Knierim ia adult personals authors found that females and males had been hospitalized at least once because of LBP or sciatica. Females who were overweight had an increased risk of second-time hospitalization and surgery. The physiatrist represents one type of medical specialist who can evaluate, diagnose, treat, and manage LBP by using medical and nonsurgical procedures and interventions.

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