Acute and Chronic Low Back Pain

Evidence Based Reports

Peripheral nerve-field stimulation for chronic low back pain. (2013) [NICE] NEW

Opioids compared to placebo or other treatments for chronic low-back pain. (2013) [Cochrane Library] NEW

Traction for low-back pain with or without sciatica. (2013) [Cochrane Library] NEW

A systematic review and meta-analysis of yoga for low back pain. (2013) [DARE] NEW

Motor control exercises reduces pain and disability in chronic and recurrent low back pain: a meta-analysis. (2013) [DARE] NEW

Percutaneous adhesiolysis in the management of chronic low back pain in post lumbar surgery syndrome and spinal stenosis: a systematic review. (2013) [DARE] NEW

Exploring the cost-utility of stratified primary care management for low back pain compared with current best practice within risk-defined subgroups. (2013) [NHS EED] NEW

Red flags to screen for malignancy in patients with low-back pain. (2012) [Cochrane LIbrary] NEW

Spinal manipulative therapy for acute low-back pain. (2012) [Cochrane Library] NEW

Back pain, acute low back (2011)[Clinical Evidence]Athens Log-in required

Back pain, chronic low back (2010)[Clinical Evidence]Athens Log-in required

Complementary and Alternative Therapies for Back Pain II (2010)[Agency for Healthcare Research and Quality]

A multicentred randomised controlled trial of a primary-care based cognitive behavioural programme for low back pain. The Back Skills Training (BeST) trial (2010)[NIHR HTA]

Effectiveness of exercise on work disability in patients with non-acute non-specific low back pain: systematic review and meta-analysis of randomized controlled trials (2010)[DARE]

Systematic review of the effectiveness of thermal annular procedures in treating discogenic low back pain (2010)[DARE]

Percutaneous intradiscal electrothermal therapy for low back pain (2009) [National Institute for Health and Clinical Excellence - Interventional Procedures]

Antidepressants for non-specific low back pain (2009)[Cochrane]

Exercise for the primary, secondary and tertiary prevention of low back pain in the workplace: a systematic review (2009)[DARE]

Individual patient education for low back pain (2008) [Cochrane]

Non-steroidal anti-inflammatory drugs for low back pain (2008) [Cochrane]

Lumbar supports for prevention and treatment of low back pain (2008) [Cochrane]

Opioids for chronic low-back pain (2007) [Cochrane]


Clinical Guidelines

Non-rigid stabilisation techniques for the treatment of low back pain (2010)[ National Institute for Health and Clinical Excellence - Interventional Procedures]NEW

Low back pain: Early management of persistent non-specific low back pain (2009)[NICE]

Back pain - low (without radiculopathy) (2009)[CKS]

Recent articles in core journals

Effectiveness of rocker sole shoes in the management of chronic low back pain: a randomized clinical trial. (2013) [EvidenceUpdates] NEW

Pilates exercise or stationary cycling for chronic nonspecific low back pain: does it matter? a randomized controlled trial with 6-month follow-up. (2013) [EvidenceUpdates] NEW

Short-term effects of interferential current electro-massage in adults with chronic non-specific low back pain: a randomized controlled trial. (2013) [EvidenceUpdates] NEW

Effects of Functional Fascial Taping on pain and function in patients with non-specific low back pain: a pilot randomized controlled trial. (2013) [EvideneUpdates] NEW

Effect of intravenous tropisetron on modulation of pain and central hypersensitivity in chronic low back pain patients. (2013)[EvidenceUpdates] NEW

The McKenzie method compared with manipulation when used adjunctive to information and advice in low back pain patients presenting with centralization or peripheralization: a randomized controlled trial. (2012) [EvidenceUpdates] NEW

Effectiveness of self-management of low back pain: systematic review with meta-analysis. (2012) [EvidenceUpdates] NEW

Multicenter randomized controlled trial to evaluate the effect of home-based exercise on patients with chronic low back pain: the Japan low back pain exercise therapy study (2010)[EvidenceUpdates]

Four-year follow-up of surgical versus non-surgical therapy for chronic low back pain (2010)[EvidenceUpdates
Graded activity and graded exposure for persistent nonspecific low back pain: a systematic review (2010)[EvidenceUpdates]

Role of physical exercise in low back pain rehabilitation: a randomized controlled trial of a three-month exercise program in patients who have completed multidisciplinary rehabilitation (2010)[EvidenceUpdates]

Effect of glucosamine on pain-related disability in patients with chronic low back pain and degenerative lumbar osteoarthritis: a randomized controlled trial (2010[JAMA]

Causal assessment of awkward occupational postures and low back pain: results of a systematic review (2010)[EvidenceUpdates]

Causal assessment of occupational bending or twisting and low back pain: results of a systematic review (2010)[EvidenceUpdates]

New criteria for inflammatory back pain in patients with chronic back pain: a real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS) (2009)[EvidenceUpdates]

Prognosis for patients with chronic low back pain: inception cohort study.(2009)[BMJ]

Evaluation of the effectiveness and efficacy of iyengar yoga therapy on chronic low back pain (2009)[EvidenceUpdates]

Efficacy of microcurrent therapy in the treatment of chronic nonspecific back pain: a pilot study (2009)[EvidenceUpdates]

A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain (2009)[EvidenceUpdates]

Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study (2009)[EvidenceUpdates]

A randomised controlled trial of spinal manipulative therapy in acute low back pain (2009)[EvidenceUpdates]

L2 spinal nerve-block effects on acute low back pain from osteoporotic vertebral fracture (2009)[EvidenceUpdates]

Intramuscular oxygen-ozone therapy in the treatment of acute back pain with lumbar disc herniation: a multicenter, randomized, double-blind, clinical trial of active and simulated lumbar paravertebral injection (2009)[EvidenceUpdates]

Early physiotherapy intervention in an Accident and Emergency Department reduces pain and improves satisfaction for patients with acute low back pain: a randomised trial (2009)[EvidenceUpdates]

Evidence-informed management of chronic low back pain with lumbar extensor strengthening exercises(2008) [EvidenceUpdates]

Evidence-informed management of chronic low back pain with lumbar stabilization exercises (2008)[EvidenceUpdates]

Evidence-informed management of chronic low back pain with herbal, vitamin, mineral, and homeopathic supplements (2008)[EvidenceUpdates]

eTextbooks

Low Back Pain and Sciatica (2013)[Mentor]updated

GP Notebook (2009) [GP Notebook]

Clinical Queries

A patient is claiming sildenafil (Viagra) helps relief back pain. Is there any evidence to support this? (2010)[ATTRACT]

Is there any evidence for chiropractic advice and treatment for simple back pain? I am interested in all aspects of the intervention and not just manipulations. (2010)[ATTRACT]

What level of evidence do we have for the effectiveness or absence of effectiveness, for non-specific, acute low back pain and non-specific chronic low back pain? (2009)[TRIPAnswers]

Is there any evidence for the use of benzodiazepines in acute back pain? (2007)[ATTRACT]

Is there any evidence for physiotherapy, osteopathy or chiropractic manipulation in the treatment of chronic non-specific back pain? (2007) [TRIP answers]

How does acupuncture performed in a primary care setting for mechanical low back pain compare with outcomes from standard physiotherapy treatment? (2007)[TRIP answers]

What is the evidence that core stability exercises reduce low back pain? (2006) [TRIP answers]

Is chiropractic care, for the treatment of mechanical low back pain, safe during pregnancy? (2006) [TRIP answers]

Do you have any information on the management of back pain during pregnancy? (2006) [TRIP answers]

Patient Information

Back Pain (2013) [BUPA Health Information]updated

Back Pain (2013)[NHS Choices]updated

Back pain (2010)[MedlinePlus]updated

Important

1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.

2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.