Asian Spine J.
2022 Dec;16(6):968-982. 10.31616/asj.2021.0371.
An Updated Overview of Low Back Pain Management
- Affiliations
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- 1Department of Orthopedics, Korea University Ansan Hospital, Ansan, Korea
- 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
- 5Department of Physical Medicine and Rehabilitation, Korea University Ansan Hospital, Ansan, Korea
- KMID: 2537268
- DOI: http://doi.org/10.31616/asj.2021.0371
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 āIā (insufficient). This review and summary of guidelines may be beneficial for physicians to better understand and make recommendations in primary care.
