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Non-specific low back pain

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Maher, Chris, Underwood, Martin and Buchbinder, Rachelle (2017) Non-specific low back pain. The Lancet, 389 (10070). pp. 736-747. doi:10.1016/S0140-6736(16)30970-9 ISSN 0140-6736.

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Official URL: http://dx.doi.org/10.1016/S0140-6736(16)30970-9

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Abstract

Non-specific low back pain affects people of all ages and is a leading contributor to disease burden worldwide. Management guidelines endorse triage to identify the rare cases of low back pain that are caused by medically serious pathology, and so require diagnostic work-up or specialist referral, or both. Because non-specific low back pain does not have a known pathoanatomical cause, treatment focuses on reducing pain and its consequences. Management consists of education and reassurance, analgesic medicines, non-pharmacological therapies, and timely review. The clinical course of low back pain is often favourable, thus many patients require little if any formal medical care. Two treatment strategies are currently used, a stepped approach beginning with more simple care that is progressed if the patient does not respond, and the use of simple risk prediction methods to individualise the amount and type of care provided. The overuse of imaging, opioids, and surgery remains a widespread problem.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: The Lancet
Publisher: Lancet Publishing Group
ISSN: 0140-6736
Official Date: 18 February 2017
Dates:
DateEvent
18 February 2017Published
10 October 2016Available
Volume: 389
Number: 10070
Page Range: pp. 736-747
DOI: 10.1016/S0140-6736(16)30970-9
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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