Management in non-traumatic arm, neck and shoulder complaints: differences between diagnostic groups.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
A FeleusBart W Koes

Abstract

Arm, neck and/or shoulder complaints are common in western societies. In the Netherlands, general practice guidelines are issued on shoulder pain and epicondylitis only. Little is known about actual management of the total range of diagnoses. The objectives of the study are: to determine management in patients consulting the GP with a new episode of non-traumatic arm neck and shoulder complaints up to 6 months after the first consultation. To evaluate differences in management between patients with specific diagnoses versus non-specific diagnoses and between specific diagnostic groups. In a prospective cohort study in general practice. We recruited 682 eligible patients. Data on diagnosis, management, patient- and complaint-characteristics were collected. Co-occurrence of treatment options was presented in scaled rectangles. After 6 months, additional diagnostic tests had been performed in 18% of the patients, mainly radiographic examination (14%). Further, 49% had been referred for physiotherapy and 12% to the medical specialist. Patients with specific diagnoses were more frequently referred for specialist treatment, and patients with non-specific diagnoses for physiotherapy. Corticosteroid injections (17%) were mainly applied...Continue Reading

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Citations

Jun 30, 2011·BMC Musculoskeletal Disorders·Carel BronRob A B Oostendorp
Feb 14, 2012·BMC Musculoskeletal Disorders·Lena VirtaRikard Eriksson
Sep 16, 2009·Annals of Family Medicine·Anita FeleusBart W Koes
Oct 29, 2011·Archives of Physical Medicine and Rehabilitation·Lukas GebremariamBionka M Huisstede
Dec 5, 2014·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Marloes Thoomes-de GraafArianne P Verhagen
Nov 15, 2014·The Journal of Orthopaedic and Sports Physical Therapy·Joy C MacdermidGeorge S Athwal
Feb 6, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Marloes Thoomes-de GraafArianne Verhagen
Apr 5, 2014·Physical Therapy·Bionka M A HuisstedeUNKNOWN European HANDGUIDE Group
Sep 9, 2017·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Marloes Thoomes-de GraafArianne Verhagen
Dec 31, 2016·Journal of Back and Musculoskeletal Rehabilitation·Waqar Ahmed AwanTahir Masood
Jul 9, 2021·Pain Reports·Marcus Yu Bin PaiDaniel Ciampi de Andrade

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