ITEMS IN AFP WITH KEYWORD:
What are the effects of oral drug treatments, injection therapy, and nondrug treatments for persons with chronic low back pain? What are the effects of nonsurgical and surgical treatments?
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) ba...
Feb 15, 2009 Issue
Predicting Benefit of Spinal Manipulation for Low Back Pain [Point-of-Care Guides]
Two systematic reviews found that spinal manipulation is superior to sham therapy or placebo in patients with acute low back pain, and has effectiveness similar to analgesics, physical therapy, or usual care by a primary care physician.
Acute lumbar disk herniations are the most common cause of sciatica. After excluding emergent causes, such as cauda equina syndrome, epidural abscess, fracture, or malignancy, a six-week trial of conservative management is indicated. Patients should be advised to stay active. If symptoms persist aft...
Jul 1, 2008 Issue
Antidepressants to Treat Nonspecific Low Back Pain [Cochrane for Clinicians]
Although antidepressants have been shown to be superior to placebo in some forms of chronic pain, they do not reduce pain or improve functional status or depression in patients with nonspecific low back pain.
Jun 1, 2008 Issue
ACP Guidelines for the Diagnosis and Treatment of Low Back Pain [Practice Guidelines]
To address the issue of the evaluation and management of low back pain, the American College of Physicians (ACP) created a guideline consisting of seven key recommendations for diagnosing and treating low back pain in the primary care setting.
Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, spondylolysis, scol...
As many as 90 percent of persons with occupational nonspecific low back pain are able to return to work in a relatively short period of time. As long as no "red flags" exist, the patient should be encouraged to remain as active as possible, minimize bed rest, use ice or heat compresses, take anti-in...
Acute low back pain with or without sciatica usually is self-limited and has no serious underlying pathology. For most patients, reassurance, pain medications, and advice to stay active are sufficient. A more thorough evaluation is required in selected patients with "red flag" findings associated wi...
What are the effects of nondrug and oral drug treatments and injection therapy?