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Although findings, such as discogenic disease or arthritis, are commonly
found on MRI, a specific cause of chronic pain (that is, a specific abnormality
that explains the pain) is usually not found. Indeed, serious problems
occur in only 2% to 3% of patients with chronic low back pain (and even
less commonly in patients below 50 years of age) (Noble, 2001).
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The management of chronic low back pain begins
with a comprehensive assessment. This includes a thorough medical history
(including a history of life style and psychosocial factors) and a physical
examination. Diagnostic testing may be needed depending on the tests
that were performed in the past and the specific findings on the history
and examination.
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