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Cochrane for Clinicians

Nonpharmacologic and Nonsurgical Treatment of Low Back Pain in Adults

Jeffrey Leggit, MD,
Uniformed Services University of the Health Sciences, Bethesda, Maryland
Brayson Pawelczyk, MD,
Alexander T. Augusta Military Medical Center, Fort Belvoir, Virginia

American Family Physician. 2026;113(2):128-129.

Author disclosure: No relevant financial relationships.

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

  1. 1.Rizzo RR, Cashin AG, Wand BM, et al. Non-pharmacological and non-surgical treatments for low back pain in adults: an overview of Cochrane reviews. Cochrane Database Syst Rev. 2025(3):CD014691.
  2. 2.Kabeer AS, Osmani HT, Patel J, et al. The adult with low back pain: causes, diagnosis, imaging features and management. Br J Hosp Med (Lond). 2023;84(10):1-9.
  3. 3.Chiarotto A, Deyo RA, Terwee CB, et al. Core outcome domains for clinical trials in non-specific low back pain. Eur Spine J. 2015;24(6):1127-1142.
  4. 4.Qaseem A, Wilt TJ, McLean RM, et al.; Clinical Guidelines Committee of the American College of Physicians. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514-530.
  5. 5.Macedo F, Annaswamy T, Coller R, et al. Diagnosis and treatment of low back pain: synopsis of the 2021 US Department of Veterans Affairs and US Department of Defense clinical practice guideline. Am J Phys Med Rehabil. 2024;103(4):350-355.

These are summaries of reviews from the Cochrane Library.

This series is coordinated by Corey D. Fogleman, MD, assistant medical editor.

A collection of Cochrane for Clinicians published in AFP is available at https://www.aafp.org/afp/cochrane.

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