Lower Back Pain
Andrew Buelt, MD, and Heidi James, MD
Andrew Buelt joins Heidi for a deep dive into the evidence for interventions for low back pain (LBP). Spoiler: don’t get your hopes up!
PEARL: While it is discouraging that most of the treatments we recommend for LBP have not been proven beneficial, we can remind our patients that most back pain improves with time and that good ol’ NSAIDs for acute LBP and exercise for chronic LBP can be helpful.
REFERENCES:
A systematic review of the global prevalence of low back pain
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Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
Oliveira CB, Maher CG, Pinto RZ, et al. Eur Spine J. 2018;27:2791-2803. doi: 10.1007/s00586-018-5673-2.
Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians
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Prevalence of and screening for serious spinal pathology in patients presenting to primary care settings with acute low back pain
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Non-steroidal anti-inflammatory drugs for low back pain
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PEER systematic review of randomized controlled trials: management of chronic low back pain in primary care
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PCMA Archive 2018 January : Acute Low Back Pain? Do Not Blame The Weather - A Case-crossover Study
PCMA Archive 2018 January: Acute Low Back Pain? Do Not Blame The Weather - A Case-crossover Study
Ian L. - February 1, 2023 3:03 AM
Worth looking at Bob and Brad the two most famous phyiotherapists on the Internet who show quite a few exercises for Sciatica . And there are others .
Heidi J., MD - February 10, 2023 7:43 AM
Thanks for the suggestion, Ian :)