Contemporary concepts in spine care: Spine rehabilitation: Secondary and tertiary nonoperative care

Tom G. Mayer, Peter Polatin, Barry Smith, Charlotte Smith, Robert Gatchel, Stanley A. Herring, Hamilton Hall, Ronald G. Donelson, Jerry Dickey, Wayne English

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

To achieve desirable behavioral outcomes, physicians treating spinal pain patients should be aware of appropriate algorithms for conservative care. Lower cost secondary rehabilitation can be effective if deconditioning, severity of physical symptoms, surgical equivocation, or psychosocial barrlers to recovery are not present. Patients who have extended disability in excess of 6 months, recognized psychosocial barriers (depression, substance abuse, personality disorders, secondary gain), or severe deconditioning have a better prognosis with tertiary care.

Original languageEnglish
Pages (from-to)2060-2066
Number of pages7
JournalSpine
Volume20
Issue number18
DOIs
StatePublished - Sep 1995

Keywords

  • Secondary spine care
  • Spine rehabilitation
  • Tertiary spine care

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    Mayer, T. G., Polatin, P., Smith, B., Smith, C., Gatchel, R., Herring, S. A., Hall, H., Donelson, R. G., Dickey, J., & English, W. (1995). Contemporary concepts in spine care: Spine rehabilitation: Secondary and tertiary nonoperative care. Spine, 20(18), 2060-2066. https://doi.org/10.1097/00007632-199509150-00021