Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society

@article{Chou2007DiagnosisAT,
  title={Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society},
  author={Roger Chou and Amir Qaseem and Vincenza Snow and Donald E Casey and Jennifer Cross and Paul Shekelle and Douglas K. Owens},
  journal={Annals of Internal Medicine},
  year={2007},
  volume={147},
  pages={478-491}
}
Low back pain is the fifth most common reason for all physician visits in the United States (1, 2). Approximately one quarter of U.S. adults reported having low back pain lasting at least 1 whole day in the past 3 months (2), and 7.6% reported at least 1 episode of severe acute low back pain (see Glossary) within a 1-year period (3). Low back pain is also very costly: Total incremental direct health care costs attributable to low back pain in the U.S. were estimated at $26.3 billion in 1998 (4… 
Low Back Pain
  • J. Wilson
  • Medicine
    Annals of Internal Medicine
  • 2008
TLDR
Evidence is insufficient to support the use of any specific preventive interventions, including educational interventions, work-site prevention programs, or mechanical supports for preventing low back pain.
Low Back Pain
  • R. Chou
  • Medicine
    Annals of Internal Medicine
  • 2014
TLDR
Evidence is insufficient to support the use of any specific preventive interventions, including educational interventions, worksite prevention programs, or mechanical supports, for preventing low back pain in healthy adults.
The Truth about Treating Low Back Pain
TLDR
Understanding current diagnostic and treatment recommendations for physical aspects of low back pain will allow psychiatrists to intervene more effectively in somatic and behavioral aspects of the disease and improve functional outcomes.
Musculoskeletal Back Pain
Common questions about chronic low back pain.
TLDR
Because long-term data are lacking for spinal surgery, patient education about realistic outcome expectations is essential and patient education should be combined with evidence-guided pharmacologic therapy.
Managing low back pain in primary care
Summary The majority of adults with low back pain can be effectively managed in primary care. Routine imaging and bed rest are best avoided. Instead patients should initially be provided with advice
Management Patterns in Acute Low Back Pain: The Role of Physical Therapy
TLDR
There was a lower risk of subsequent medical service usage among patients who received PT early after an episode of acute low back pain relative to those who receivedPT at later times.
Low Back Pain
Back pain is one of the most common reasons for primary care visits in the UK: over a 12 month period, 7% of the adult population consults their GPs with back pain (McCormick et al., 1995). The
Pharmacological Management of Low Back Pain
TLDR
When choosing medications for treatment of low back pain, practice guidelines provide a useful starting point for making decisions, but clinicians should base therapeutic choices on individualized consideration and discussion with patients regarding the potential benefits and risks.
Diagnosis and treatment of low back pain
TLDR
The outlook for evidence based management of low back pain has greatly improved and the current state of science regarding the diagnosis and treatment ofLow back pain is presented.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 230 REFERENCES
Medications for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline
TLDR
Current evidence on benefits and harms of medications for acute and chronicLow back pain is reviewed as part of a larger evidence review commissioned by the American Pain Society and the American College of Physicians to guide recommendations for management of low back pain.
Diagnostic Evaluation of Low Back Pain with Emphasis on Imaging
TLDR
Taking a history is more useful than physical examination in screening for underlying malignancy, at least in the early stages (Table 2) (7, 10).
Physician Office Visits for Low Back Pain: Frequency, Clinical Evaluation, and Treatment Patterns From a U.S. National Survey
TLDR
The frequency of office visits for low back pain, the content of ambulatory care, and how these vary by physician specialty are characterized and visit, referral, and management patterns among specialties providing the most care are described.
Use of lumbar radiographs for the early diagnosis of low back pain. Proposed guidelines would increase utilization.
TLDR
The implementation of the AHCPR guidelines for the initial use of radiographs in patients with low back pain may increase utilization and economic costs and a more restricted and cost-efficient set of guidelines should be proposed.
What can the history and physical examination tell us about low back pain?
TLDR
Most causes of back pain respond to symptomatic and physical measures, but some are surgically remediable and some are systemic diseases requiring specific therapy, so careful diagnostic evaluation is important.
Epidemiological features of chronic low-back pain
Nonpharmacologic Therapies for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline
TLDR
Current evidence on noninvasive therapies for low back pain in adults is summarized and several therapies that have not been studied in the United States or are not widely available are reviewed in the complete evidence review.
Acute Severe Low Back Pain: A Population-based Study of Prevalence and Care-seeking
TLDR
Acute back pain is common and care is often sought regardless of income and insurance status, and gender, income, age, rural residence, and health insurance status did not correlate with the decision to seek medical care.
A Clinical Prediction Rule To Identify Patients with Low Back Pain Most Likely To Benefit from Spinal Manipulation: A Validation Study
TLDR
The clinical prediction rule for identifying which patients with low back pain are most likely to respond to manipulation was validated in a multicenter trial to improve clinical efficiency and resource utilization.
Medication Use for Low Back Pain in Primary Care
TLDR
Patients prescribed medications, particularly muscle relaxants, reported less severe symptoms after 1 week than those receiving no medications, and Medication use for back pain in this health maintenance organization was generally concordant with national guidelines.
...
1
2
3
4
5
...