Diagnosis and Treatment of Low Back Pain

Franz Macedo, Thiru Annaswamy, Rachael Coller, Andrew Buelt, Michael A. Glotfelter, Paul W. Heideman, Daniel Kang, Lisa Konitzer, Casey Okamoto, Juli Olson, Sanjog Pangarkar, James Sall, Lance C. Spacek, Evan Steil, Rebecca Vogsland, Friedhelm Sandbrink

Research output: Contribution to journalArticlepeer-review

Abstract

Low back pain is a significant issue in the US Department of Veterans Affairs and Department of Defense populations as well as the general US population at large. This type of pain can be distressing to those who experience its effects, leading patients to seek relief of their symptoms. In 2022, leadership within the US Department of Veterans Affairs and US Department of Defense approved a joint clinical practice guideline for the management of low back pain. The guideline provides evidence-based recommendations for assessing and managing low back pain. Development of the guideline included a systematic evidence review, which was guided by 12 key questions. A multidisciplinary team, which included clinical stakeholders, reviewed the evidence that was retrieved and developed 39 recommendations using the Grading of Recommendations Assessment, Development, and Evaluation system. The scope of the clinical practice guideline is broad; however, the authors have focused on key recommendations that are important for clinicians in the evaluation and nonoperative treatment of low back pain, including pharmacologic therapies and both noninvasive and invasive nonpharmacologic treatments.

Original languageEnglish (US)
Pages (from-to)350-355
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume103
Issue number4
DOIs
StatePublished - Apr 2024

Keywords

  • Clinical Practice Guideline
  • Invasive Nonsurgical Treatment of Low Back Pain
  • Low Back Pain
  • Pharmacologic and Noninvasive Therapy for Low Back Pain

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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