An Updated Overview of Low Back Pain Management in Primary Care

Currently, guidelines for lower back pain (LBP) treatment are needed. We reviewed the current guidelines and high-quality articles to confirm the LBP guidelines for the Korean Society of Spine Surgery. We searched available databases for high-quality articles in English on LBP published from 2000 to...

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Bibliographic Details
Published in:Asian spine journal 2017, 11(4), , pp.653-660
Main Authors: Hong, Jae-Young, Song, Kwang-Sup, Cho, Jae Hwan, Lee, Jae Hyup
Format: Article
Language:English
Subjects:
Activities of daily living
Analgesics
Antidepressants
Back pain
Behavior modification
Benzodiazepines
Bone surgery
Clinical trials
Low back pain
Lower back pain
Meta-analysis
Primary care
Recommendation Copyright
Special Topic: Update in Spinal Pain and Its Management
Spine
Systematic review
Treatment guideline
정형외과학
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Summary:Currently, guidelines for lower back pain (LBP) treatment are needed. We reviewed the current guidelines and high-quality articles to confirm the LBP guidelines for the Korean Society of Spine Surgery. We searched available databases for high-quality articles in English on LBP published from 2000 to the present year. Literature searches using these guidelines included studies from MEDLINE, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and Embase. We analyzed a total of 132 randomized clinical trials, 116 systematic reviews, 9 meta-analyses, and 4 clinical guideline reviews. We adopted the SIGN checklist for the assessment of article quality. Data were subsequently abstracted by a reviewer and verified. Many treatment options exist for LBP, with a variety of recommendation grades. We assessed the recommendation grade for general behavior, pharmacological therapy, psychological therapy, and specific exercises. This information should be helpful to physicians in the treatment of LBP patients.
ISSN:1976-1902
1976-7846
DOI:10.4184/asj.2017.11.4.653