The European Journal of Pain 2017

Clinical practice guidelines for the noninvasive management of low back pain: A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration J.J. Wong,P.Cote, D.A. Sutton, K. Randhawa,H.Yu, S. Varatharajan, R. Goldgrub,M.
Nordin, D.P. Gross, H.M. Shearer, L.J. Carroll, P.J. Stern, A. Ameis, D. Southerst, S. Mior, M. Stupar, T. Varatharajan, A. Taylor-Vaisey

“According to high- quality guidelines: (1) all patients with acute or chronic LBP should receive education, reassurance and instruction on self-management options; (2) patients with acute LBP should be encouraged to return to activity and may benefit from paracetamol, nonsteroidal anti- inflammatory drugs (NSAIDs), or spinal manipulation; (3) the management of chronic LBP may include exercise, paracetamol or NSAIDs, manual therapy, acupuncture, and multimodal rehabilitation (combined physical and psychological treatment); and (4) patients with lumbar disc herniation with radiculopathy may benefit from spinal manipulation.”

“Most high-quality guidelines recommend education, staying active/exercise, manual therapy and paracetamol/NSAIDs as first-line treatments for LBP.”

Full article HERE