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Non-specific low back pain

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TLDR
Two treatment strategies are currently used, a stepped approach beginning with more simple care that is progressed if the patient does not respond, and the use of simple risk prediction methods to individualise the amount and type of care provided.
About
This article is published in The Lancet.The article was published on 2017-02-18. It has received 1687 citations till now. The article focuses on the topics: Low back pain & Disease burden.

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Citations
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Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview

TL;DR: Some differences are identified compared to the previous overview regarding the recommendations for assessment of psychosocial factors, the use of some medications as well as an increasing amount of information regarding the types of exercise, mode of delivery, acupuncture, herbal medicines, and invasive treatments.
Journal ArticleDOI

Nociplastic pain: towards an understanding of prevalent pain conditions

TL;DR: Nociplastic pain this paper is a third category of pain that is mechanistically distinct from nociceptive pain, which is caused by ongoing inflammation and damage of tissues, and neuropathic pain, caused by nerve damage.
References
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Journal ArticleDOI

The association between lumbar disc degeneration and low back pain: the influence of age, gender, and individual radiographic features.

TL;DR: This work is the first to report different possible lumbar disc degeneration definitions and their associations with LBP, and describes the frequency of the different individual radiographic features and definitions, as well as their association with L BP status, by age, gender, and vertebral level.

The prognosis of acute and persistant low back pain: a meta-analysis.

TL;DR: Patients who presented with acute or persistent low-back pain improved markedly in the first six weeks, but after that time improvement slowed, and low to moderate levels of pain and disability were still present at one year, especially in the cohorts with persistent pain.
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Opioids for low back pain.

TL;DR: Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare, and opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class.
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Rapid magnetic resonance imaging vs radiographs for patients with low back pain: a randomized controlled trial.

TL;DR: Rapid MRIs and radiographs resulted in nearly identical outcomes for primary care patients with low back pain, and substituting rapid MRI for radiographic evaluations in the primary care setting may offer little additional benefit to patients and it may increase the costs of care because of the increased number of spine operations that patients are likely to undergo.
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Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain

TL;DR: The results of this review demonstrate that tests do exist that change the probability of the disc or SIJ (but not the facet joint) as the source of low back pain, however, the changes in probability are usually small and at best moderate.
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