Choosing Wisely:

Don’t recommend bed rest for more than 48 hours when treating low back pain.

Rationale and Comments: In patients with low back pain, bed rest exceeding 48 hours in duration has not been shown to be of benefit.
Sponsoring Organizations:
  • North American Spine Society
  • Sources:
  • Cochrane Database of Systematic Reviews
  • Disciplines:
  • Orthopedic
  • References: • Dahm KT, Brurberg KG, Jamtvedt G, Hagen KB. Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database Syst Rev. 2010 Jun 16;(6):CD007612.
    • North American Spine Society. Acute low back pain [Internet]. Blue Ridge (IL): North American Spine Society; 2009. [cited 2012 November 7]. Available from:

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