Back Pain

Feb 15, 2012 Issue
Diagnosis and Treatment of Acute Low Back Pain [Article]

Acute low back pain is one of the most common reasons for adults to see a family physician. Although most patients recover quickly with minimal treatment, proper evaluation is imperative to identify rare cases of serious underlying pathology. Certain red flags should prompt aggressive treatment or r...

Aug 15, 2011 Issue
Low Back Pain (Chronic) [Clinical Evidence Handbook]

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?

Jun 15, 2009 Issue
Chronic Low Back Pain: Evaluation and Management [Article]

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.

Oct 1, 2008 Issue
Acute Lumbar Disk Pain: Navigating Evaluation and Treatment Choices [Article]

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.

Dec 1, 2007 Issue
Evaluation of Back Pain in Children and Adolescents [Article]

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...

Nov 15, 2007 Issue
Nonspecific Low Back Pain and Return to Work [Article]

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...

Apr 15, 2007 Issue
Evaluation and Treatment of Acute Low Back Pain [Article]

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...

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