Antibiotika bør ikke anvendes til behandling af rygsmerter

Translated title of the contribution: Antibiotics should not be used for treating back pain due to Modic changes

Peter Muhareb Udby, Peter Fritzell, Tomas Bergström, Bodil Jönsson, Mikael Skorpil, Olle Hägg, Mikkel Østerheden Andersen

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Infection has been proposed as a cause of back pain in individuals with Modic changes. This review summarises the knowledge on this topic in Scandinavia. A Norwegian randomized controlled trial could not replicate results in favor of antibiotic treatment for such patients. A Danish study demonstrated that patients with low back pain and Modic changes had similar physical disability-scores and less sick leave due to back pain than individuals without Modic changes at long-term follow-up (>10 years). A Swedish study displayed equal bacterial presence in discs of patients operated for lumbar disc herniation and in control patients, indicating that the presence of bacteria is caused by contamination during the surgical procedure and is not related to back pain.
Translated title of the contributionAntibiotics should not be used for treating back pain due to Modic changes
Original languageDanish
Article numberV06200476
JournalUgeskrift for Laeger
Volume182
Issue number20A
ISSN0041-5782
Publication statusPublished - 12. Oct 2020

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