Controversy Over New Clinical Guidelines for Low Back PainIn 1994, the Agency for Health Care Policy and Research (AHCPR) published Acute Low Back Problems in Adults. These clinical guidelines have been used by many doctors in advising patients with low back pain (LBP) to stay active.
A new set of clinical guidelines has been added to the previous AHCPR document. These new guidelines aren't meant to replace the AHCPR publication. Instead, they focus on primary care and the treatment of pain as the underlying disease.
The American College of Physicians and the American Pain Society developed the new guidelines. They are evidence-based, follow a clear path, and are user-friendly. Seven main recommendations are made and include:
the history and physical exam. The categories are nonspecific back pain, back pain with stenosis or radiculopathy (leg pain), and back pain from some other cause.
with nonspecific LBP.
neurologic symptoms that are getting worse.
radiculopathy or stenosis.
given information about self-care options.
There are some concerns about the new guidelines. Experts have suggested this new model is focused too much on a medical solution to back pain. Many studies show that psychosocial factors are an important key to the treatment of LBP.
There was no mention of other forms of treatment such as injections, surgery, laser, or other invasive approaches. It is expected that the next phase of these guidelines will focus on the new invasive treatments.
New Clinical Guidelines on the Diagnosis and Treatment of Low Back Pain: Will They Prove Useful or Not? In The BACK Letter. November 2007. Vol. 22. No. 11. Pp. 121-129.
|*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.|
|All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.|