Potential analysis for patient education in acute non-specific low back pain / Potenzialanalyse zur Patienten/-innenedukation bei akuten unspezifischen lumbalen Rückenschmerzen

Abstract

Health problem: Recent health insurance statistics show that low back pain (LBP) takes the first place in individual diagnoses according to sick leave statistics. As stated by the German back pain study of 2003/2006, long-term prevalence amounts to a total of 74 % to 85 %. In the case of acute unspecific LRS guidelines, recommend the use of non-steroidal anti-inflammatory drugs and patient education in order to motivate the patient to retain an active lifestyle, to stay physically active and to inform the patient about the background of the symptoms. Studies about the current medical supply situation in Germany show injections and passive therapy methods are part of the standard care, whereas educational measures are generally not applied. Evidence: A Cochrane Review indicates the effectiveness of educational measures that have a duration of 2 hours. Education in the recommended intensity can probably not be realized by health care practitioners within the time framework set aside for treatment and advice. Because of their range of services and their professional competence physical and occupational therapists appear to be predestined for this type of education as intervention. Research recommendations:In order to assess the potential of such an intervention for a later more extensive efficacy study a feasibility study should be carried out first. The focus is on assessing the feasibility and the evaluation of intervention education.Potential analysis -patient education -low back pain -physiotherapy -occupational therapy Keywords Abstract AbstractPotenzialanalyse zur Patienten/-innenedukation bei akuten unspezifischen lumbalen Rückenschmerzen

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

“…[13][14][15] Thus, there is limited knowledge regarding the best management for acute LBP, and most meta-analyses and systematic reviews on the topic report a lack of sufficient data to reach definitive conclusions. 13,14,[16][17][18][19][20][21][22][23][24] According to current guidelines, nonpharmacological treatment should represent the first line of treatment, with pharmacological management can be initiated if the patient wishes it or if first-line treatment proved to be insufficient. 25 However, evidence regarding nonpharmacological treatment of acute LBP is only low to moderate and includes local heat, acupuncture, or massage/manipulations.…”