Asian Spine J.
2017 Aug;11(4):653-660. 10.4184/asj.2017.11.4.653.
An Updated Overview of Low Back Pain Management in Primary Care
- Affiliations
-
- 1Department of Orthopedics, Korea University Ansan Hospital, Ansan, Korea. osspine@korea.ac.kr
- 2Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
- 3Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- 4Department of Orthopedic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea.
- KMID: 2387672
- DOI: http://doi.org/10.4184/asj.2017.11.4.653
Abstract
- Currently, guidelines for lower back pain (LBP) treatment are needed. We reviewed the current guidelines and high-quality articles to confirm the LBP guidelines for the Korean Society of Spine Surgery. We searched available databases for high-quality articles in English on LBP published from 2000 to the present year. Literature searches using these guidelines included studies from MEDLINE, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and Embase. We analyzed a total of 132 randomized clinical trials, 116 systematic reviews, 9 meta-analyses, and 4 clinical guideline reviews. We adopted the SIGN checklist for the assessment of article quality. Data were subsequently abstracted by a reviewer and verified. Many treatment options exist for LBP, with a variety of recommendation grades. We assessed the recommendation grade for general behavior, pharmacological therapy, psychological therapy, and specific exercises. This information should be helpful to physicians in the treatment of LBP patients.
