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Management of low back pain – treatment strategies
 
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Online publication date: 2010-04-08
 
 
Reumatologia 2009;47(6):368-371
 
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ABSTRACT
Low back pain is becoming one of the most serious problems in present-day medicine. This paper briefly reviews the diagnostic, clinical and therapeutic problems of low back pain. The effectiveness of medication (pharmacological and non-pharmacological) for acute and chronic low back pain is discussed. The recent data suggest that therapies with good evidence of moderate efficacy for chronic or subacute low back pain are cognitive-behavioural therapy, exercise, and interdisciplinary rehabilitation. The only therapy with good evidence of efficacy for acute low back pain is superficial heat. In conclusion, therapeutic management should be inter-disciplinary and focused on cooperation between different specialists. On the other hand, patient preferences, cost, availability and clinical features are important for making an appropriate decision concerning treatment strategy.
 
REFERENCES (21)
1.
Borenstein DG. Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain. Curr Opin Rheumatol 2001; 13: 128-134. .
 
2.
Kwolek A, Korab D, Majka M. Rehabilitacja w zespołach bólowych dolnego odcinka kręgosłupa – zasady postępowania. Post Rehab 2004; 18: 27-31. .
 
3.
Krismer M, van Tulder M, The Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Low back pain (non-specific). Best Pract Res Clin Rheumatol 2007; 21: 77-91. .
 
4.
Waddell G. The back pain revolution. Churchill Livingstone, Philadelphia 1998. .
 
5.
van Tulder MW. Low back pain. Best Pract Res Clin Rheumatol 2002; 16: 761-775. .
 
6.
Pengel LH, Herbert RD, Maher CG et al. Acute low back pain: systematic review of its prognosis. BMJ 2003; 327: 323. .
 
7.
von Korff M, Saunders K. The course of back pain in primary care. Spine 1996; 21: 2833-2837. .
 
8.
Waddell G. A new clinical model for the treatment of low back pain. Spine 1987; 12: 632-644. .
 
9.
Chou R, Qaseem A, Snow V et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med 2007; 147: 478-491. .
 
10.
Chou R, Huffman LH. Medications for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007; 147: 505-514. .
 
11.
Li C, Ni J, Wang Z. Analgesic efficacy and tolerability of flu-pirtine vs. tramadol in patients with subacute low back pain: a double-blind multicentre trial. Curr Med Res Opin 2008; 24: 3523-3530. .
 
12.
Waddell G, Feder G, Lewis M. Systematic reviews of bed rest and advice to stay active for acute low back pain. Br J Gen Pract 1997; 47: 647-652. .
 
13.
Hilde G, Bo/ K. Effect of exercise in the treatment of low back pain: a systematic review emphasizing type and dose of exercise. Phys Ther Rev 1998; 3: 107-117. .
 
14.
Turner JA. Educational and behavioral interventions for back pain in primary care. Spine 1996; 21: 2851-2859. .
 
15.
van der Heijden GJMG, Beurskens AJHM, Assendelft WJJ, et al. The efficacy of traction for back and neck pain: a systematic blinded review of randomized clinical trial methods. Phys Ther 1995; 75: 18-29. .
 
16.
Van Tulder MW, Koes BW, Assendelft WJJ, et al. The effectiveness of conservative treatment of acute and chronic low back pain. EMGO Institute, Amsterdam 1999. 17. Gam JN, Johannsen J. Ultrasound therapy in musculoskeletal disorders: a metaanalysis. Pain 1995; 63: 85-91. .
 
17.
van der Heijden GJMG, Torenbeek N, van der Windt DAWM, et al. Transcutaneous electrotherapy for musculoskeletal disorders: a systematic review. In: De effectiviteit van fysische therapie, electrotherapie, lasertherapie ultrageluidbe-handeling. Den Haag. The Netherlands. Gezondheidsraad, 1999. .
 
18.
Gam AN, Thorzen H, Lonnberg F. The effect of low-level laser therapy on musculoskletal pain: a meta-analysis. Pain 1993; 52: 63-66. .
 
19.
Ernst E. Massage therapy for low back pain: a systematic review. J Pain Symptom Manage 1999; 17: 65-69 .
 
20.
Sjogren T, Long N, Storay I. Group hydrotherapy versus group land-based treatment for chronic low back pain. Physiother Res Int 1997; 4: 212-222 .
 
21.
Chou R, Huffman LH. Nonpharmacologic therapies for acute and chronic low back pain: a review of he evidence for an American Pain Society/ American College of Physicians Clinical Practice Guideline. Ann Intern Med 2007; 147: 492-504.
 
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