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National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy.

Authors: Mette Jensen Stochkendahl, Per Kjaer, Jan Hartvigsen, Alice Kongsted, Jens Aaboe, Margrethe Andersen et al.Journal: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research SocietyPublished: November 20, 2018DOI: 10.1007/s00586-017-5099-2
Q2 JournalSJR: 1.543h-index: 72SCImago
Moderate Evidence

In Plain Language: lower back pain, explained

A recent study evaluated various non-surgical treatments for recent low back pain and lumbar radiculopathy. The findings suggest that patient education, supervised exercise, and manual therapy are beneficial for managing these conditions, while recommending against the routine use of acupuncture and certain medications. These results are significant as they align well with international treatment guidelines, offering a practical approach for patients and healthcare providers alike.

Key Findings: what this study found about lower back pain

  • ✓Sixteen recommendations were evidence-based, focusing on patient education and supervised exercise.
  • ✓Guidelines advise against the routine use of acupuncture and certain medications like NSAIDs and opioids.
  • ✓Promoting active management and information about prognosis are essential components of care.

What This Means for You

For individuals suffering from recent low back pain or lumbar radiculopathy, this study highlights that engaging in supervised exercise and receiving manual therapy may lead to better outcomes than relying on medications or acupuncture.

What This Means for Practitioners

Reflexology practitioners can incorporate insights from this study by focusing on patient education and recommending complementary exercise programs to enhance the effectiveness of reflexology treatments for low back pain.

Study Design: how this study was run

Blinding
open label
Control
none
Duration
not specified

Limitations: what it cannot tell you about lower back pain

The recommendations are based on low to moderate quality evidence and consensus, which indicates a need for further research.

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Lower back pain: common questions

What does this study say about lower back pain?

For individuals suffering from recent low back pain or lumbar radiculopathy, this study highlights that engaging in supervised exercise and receiving manual therapy may lead to better outcomes than relying on medications or acupuncture.

What did this study find?

Sixteen recommendations were evidence-based, focusing on patient education and supervised exercise. Guidelines advise against the routine use of acupuncture and certain medications like NSAIDs and opioids. Promoting active management and information about prognosis are essential components of care.

How strong is this evidence?

We rate this study's evidence moderate. It was published in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, a Q2 journal. This study is indexed here for context; it did not test reflexology itself.

What are the limitations of this study?

The recommendations are based on low to moderate quality evidence and consensus, which indicates a need for further research.

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