An Updated Overview of Low Back Pain Management

Abstract

We aimed to determine the recommendation level for the treatment of acute and chronic low back pain (LBP). A systematic review (SR) of the literature was performed and all English-language articles that discuss acute and chronic LBP, including MEDLINE and the Cochrane Database of Systematic Reviews, were searched. Of the 873 searched literature reports, 259 articles, including 131 clinical trials, 115 SRs, nine meta-analyses, and four clinical guidelines were analyzed. In these articles, high-quality randomized controlled trials, SRs, and used well-written clinical guidelines were reviewed. The results indicated multiple acute and chronic LBP treatment methods in the literature, and these reports when reviewed included general behavior, pharmacological therapy, psychological therapy, specific exercise, active rehabilitation and educational interventions, manual therapy, physical modalities, and invasive procedures. The Trial conclusions and SRs were classified into four categories of A, B, C, and D. If there were not enough high-quality articles, it was designated as "I" (insufficient). This review and summary of guidelines may be beneficial for physicians to better understand and make recommendations in primary care.

Assessment and nonsurgical management of low back pain: a narrative review

“…LBP affects people of all ages and socioeconomic classes worldwide [4][5][6]. Previous studies have documented that 50% to 80% of people will experience LBP at least once in their lives, with a point prevalence of 15% to 30% and annual incidence of 15% to 45% [7][8][9]. Although LBP can develop in all age groups, it is most common in the working population, i.e., adults aged 35 to 55 years [2,5], with the overall prevalence and severity of LBP tending to increase over time [10,11].…”

Lumbar Spinal Stenosis: Review Update 2022

“…After receiving appropriate conservative treatment for at least 2-3 months, surgery is recommended when patients complain of pain, muscle weakness, and gait disturbance caused by lower-extremity paresthesia, which affect their daily life. Surgery is rarely used to treat low back pain caused by spondylolisthesis and scoliosis when there is no instability [48]. It is difficult to predict the likelihood of recovery after surgery, even when uncommon long-term motor paralysis is the main symptom; thus, other causes should be identified prior to surgery.…”

Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys

“…Patients with LBP may recover spontaneously, but some LBP patients will develop chronic LBP (CLBP) [ 5 ]. From the third decade of life until age 60, the prevalence increases linearly, with a greater frequency among women [ 2 , 6 ]. In addition, a recent meta-analysis revealed that 21–68% of patients aged 60 or older had LBP in the preceding year, indicating the significant prevalence of CLBP among older persons [ 7 ].…”