Low back pain and sciatica: summary of NICE guidance

  title={Low back pain and sciatica: summary of NICE guidance},
  author={Ian A Bernstein and Qudsia Malik and Serena F. Carville and Stephen P Ward},
  journal={British Medical Journal},
#### What you need to know Low back pain is the leading cause of long term disability worldwide.1 The lifetime incidence of low back pain is 58-84%,2 and 11% of men and 16% of women have chronic low back pain.3 Back pain accounts for 7% of GP consultations and results in the loss of 4.1 million working days a year.2 More than 30% of people still have clinically significant symptoms after a year after onset of sciatica.4 This guideline replaces the National Institute for Health and Care Excellence (NICE) guideline on early management of low back pain in adults (2009) and expands its remit. [] Key Method
Low back pain
This Primer by Vlaeyen and colleagues reviews the epidemiology, diagnosis and management of low back pain and discusses the potential contributors, underlying mechanisms and neurobiology of back pain.
Common Clinical Practice for Low Back Pain Treatment: A Modified Delphi Study
While the consensus statements were generally agreeable to survey respondents, some areas of ambiguity, including how to increase the feasibility of multidisciplinary strategies, when and how to use diagnostic imaging in LBP, and LBP classification, necessitate clarification in future studies and guidelines.
Back pain: from diagnosis to treatment
Clinical symptoms of myofascial, muscular-tonic syndrome, facet syndrome, and sacral-iliac joint dysfunction in lower back pain are presented, as well as techniques of neuroorthopedic examination, which allow to detect one or more abrasions of back pain.
Treatment of Low Back Pain with a Digital Multidisciplinary Pain Treatment App: Short-Term Results
This retrospective study showed that in a pre-selected population of app users, an app digitalizing multidisciplinary rehabilitation for the self-management of LBP reduced user-reported pain levels significantly.
Informed appropriate imaging for low back pain management: A narrative review
The pain is back, when I was doing just spine
Lower back pain is one of the leading reasons dentists claim on their insurance, take early retirement and even contributes to the 1.8% of dentists that take their own life each year.
Risk classification of patients referred to secondary care for low back pain
The correlation between score on the screening tools was good, while the classification agreement between the screening instruments was low, and patients classified with high risk according to Start Back showed a higher score on pain and work related characteristics as measured by ÖMPSQ.
Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain
It is suggested that spinal manipulative therapy may be as effective as other recommended therapies for the management of non-specific and chronic primary spine pain, including standard medical care or physical therapy.


Barriers to Primary Care Clinician Adherence to Clinical Guidelines for the Management of Low Back Pain: A Systematic Review and Metasynthesis of Qualitative Studies
A systematic review and metasynthesis of qualitative studies that have explored primary care clinicians’ perceptions and beliefs about guidelines for LBP, including perceived enablers and barriers to guideline adherence is performed.
The natural course of acute sciatica with nerve root symptoms in a double-blind placebo-controlled trial evaluating the effect of piroxicam.
A concomitant double-blind investigation of the effect of the nonsteroidal anti-inflammatory drug piroxicam was performed and results measured by visual analog scale and Roland's functional tests showed a satisfactory improvement throughout the 4 weeks of observation.
A Heavy Burden: the occurrence and impact of musculoskeletal conditions in the United Kingdom today.
This edition aims to build on the previous two, by including economic and mortality information, in addition to providing an update based on the most recently available data.
National Institute for Health and Care Excellence.
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NICE proposes an update of published guidance if the evidence base or clinical environment has changed to an extent that is likely to have a material effect on the recommendations in the existing
GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
The advantages of the GRADE system are explored, which is increasingly being adopted by organisations worldwide and which is often praised for its high level of consistency.
Neuropathic pain in adults: pharmacological management in non-specialist settings (clinical guideline CG173)
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National Institute for Health and Care Excellence. Low back pain and sciatica in over 16s: assessment and management (NICE guideline NG59). Full guideline
  • 2016