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National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy.

作者信息

Stochkendahl Mette Jensen, Kjaer Per, Hartvigsen Jan, Kongsted Alice, Aaboe Jens, Andersen Margrethe, Andersen Mikkel Ø, Fournier Gilles, Højgaard Betina, Jensen Martin Bach, Jensen Lone Donbæk, Karbo Ture, Kirkeskov Lilli, Melbye Martin, Morsel-Carlsen Lone, Nordsteen Jan, Palsson Thorvaldur Skuli, Rasti Zoreh, Silbye Peter Frost, Steiness Morten Zebitz, Tarp Simon, Vaagholt Morten

机构信息

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.

Nordic Institute of Chiropractic and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.

出版信息

Eur Spine J. 2018 Jan;27(1):60-75. doi: 10.1007/s00586-017-5099-2. Epub 2017 Apr 20.


DOI:10.1007/s00586-017-5099-2
PMID:28429142
Abstract

PURPOSE: To summarise recommendations about 20 non-surgical interventions for recent onset (<12 weeks) non-specific low back pain (LBP) and lumbar radiculopathy (LR) based on two guidelines from the Danish Health Authority. METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach. RESULTS: Sixteen recommendations were based on evidence, and four on consensus. Management of LBP and LR should include information about prognosis, warning signs, and advise to remain active. If treatment is needed, the guidelines suggest using patient education, different types of supervised exercise, and manual therapy. The guidelines recommend against acupuncture, routine use of imaging, targeted treatment, extraforaminal glucocorticoid injection, paracetamol, NSAIDs, and opioids. CONCLUSION: Recommendations are based on low to moderate quality evidence or on consensus, but are well aligned with recommendations from international guidelines. The guideline working groups recommend that research efforts in relation to all aspects of management of LBP and LR be intensified.

摘要

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