Choosing Wisely:

Don’t recommend bed rest for low back pain. Patients should remain as active as possible and be encouraged to find positions of comfort and engage in activities that don’t worsen symptoms during an acute episode.

Rationale and Comments: In patients with low back pain, bed rest has not been shown to be beneficial and has been shown to delay recovery.
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.
    • McIntosh G, Hall H. Low back pain (acute). BMJ Clin Evid. 2011;2011:1102.
    • Abdel Shaheed C, Maher CG, Williams KA, McLchlan AJ. Interventions available over the counter and advice for acute low back pain: systematic review and meta-analysis. J Pain. 2014;15(1):2-15.
    • Casser HR, Seddigh S, Rauschmann M. Acute lumbar back pain. Dtsch Arztebl Int. 2016;113(13):223-234.

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