Items in AFP with MESH term: Low Back Pain

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Intermittent Back and Leg Pain with Numbness - Photo Quiz


Antidepressants to Treat Nonspecific Low Back Pain - Cochrane for Clinicians


Chronic Low Back Pain: Evaluation and Management - Article

ABSTRACT: Chronic low back pain is a common problem in primary care. A history and physical examination should place patients into one of several categories: (1) nonspecific low back pain; (2) back pain associated with radiculopathy or spinal stenosis; (3) back pain referred from a nonspinal source; or (4) back pain associated with another specific spinal cause. For patients who have back pain associated with radiculopathy, spinal stenosis, or another specific spinal cause, magnetic resonance imaging or computed tomography may establish the diagnosis and guide management. Because evidence of improved outcomes is lacking, lumbar spine radiography should be delayed for at least one to two months in patients with nonspecific pain. Acetaminophen and nonsteroidal anti-inflammatory drugs are first-line medications for chronic low back pain. Tramadol, opioids, and other adjunctive medications may benefit some patients who do not respond to nonsteroidal anti-inflammatory drugs. Acupuncture, exercise therapy, multidisciplinary rehabilitation programs, massage, behavior therapy, and spinal manipulation are effective in certain clinical situations. Patients with radicular symptoms may benefit from epidural steroid injections, but studies have produced mixed results. Most patients with chronic low back pain will not benefit from surgery. A surgical evaluation may be considered for select patients with functional disabilities or refractory pain despite multiple nonsurgical treatments.


Predicting Benefit of Spinal Manipulation for Low Back Pain - Point-of-Care Guides


Diagnosing Lumbar Spinal Stenosis - Point-of-Care Guides


Low Back Pain - Clinical Evidence Handbook


Do NSAIDs Help in Acute or Chronic Low Back Pain? - Cochrane for Clinicians


The Care of Low Back Problems: Less Is More - Editorials


Spinal Manipulative Therapy for Low Back Pain - Cochrane for Clinicians


Primary Care Interventions to Prevent Low Back Pain in Adults: Recommendation Statement - U.S. Preventive Services Task Force


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