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Rheumatology Advance Access originally published online on August 15, 2003
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Rheumatology 2004; 43: 2-3
© British Society for Rheumatology 2003; all rights reserved

Editorial

Community management of knee pain in older people: is knee pain the new back pain?

M. R. Underwood

General Practice and Primary Care, Barts and The London, Queen Mary's School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Correspondence to: E-mail: m.underwood@qmul.ac.uk

The first 150 words of the full text of this article appear below.

Over the last 10–15 yr there has been considerable academic interest in the community management of low back pain. This has been due, at least in part, to the high indirect costs, resulting largely from lost production, that have been attributed to spinal problems. Although questions still remain about how those working in primary and community care should manage back pain, the combination of new epidemiological studies [1], careful systematic reviews of existing data [2] from completed trials [3, 4] and ongoing trials [5], plus guideline development [6] and implementation [7], and new models of service delivery [8], are changing the conservative management of back pain in the community. This overall approach could be used as a model for addressing the community management of other painful musculoskeletal disorders for which this clarity of approach is . . . [Full Text of this Article]


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