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Evaluation

Does the patient have low back pain?

Does the patient have a disc herniation?

Does the patient have a relevant back diagnosis other than herniated disc?

Duration of reduced work ability

weeks

Duration of acute back pain

weeks

Number of additional pain locations

Has the patient considered or applied for disability pension?

Is the patient depressed (Beck's depression inventory > 10)?

Intensity of pain on visual analogue scale (enter from 0 to 10, with 0 none and 10 unbearable agony)

Are reflexes abnormal (deficient)?

Does the patient have other diagnosis in addition to the low back pain?

Has the patient had previous back surgery?

Does the patient have a general pain avoidance behavior?

Does the patient have a positive Lasegue (straight leg raising) sign?

Job level

Results

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