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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.
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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

Causal assessment of awkward occupational postures and low back pain: results of a systematic review

TL;DR: There was strong evidence for consistency of no association between awkward occupational postures and LBP, with only two studies demonstrating significant associations in most of their risk estimates compared with six studies reported mainly nonsignificant associations.
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Naproxen With Cyclobenzaprine, Oxycodone/Acetaminophen, or Placebo for Treating Acute Low Back Pain: A Randomized Clinical Trial

TL;DR: Among patients with acute, nontraumatic, nonradicular LBP presenting to the ED, adding cyclobenzaprine or oxycodone/acetaminophen to naproxen alone did not improve functional outcomes or pain at 1 week follow-up, and these findings do not support use of these additional medications in this setting.
Journal ArticleDOI

Sufficiently important difference: expanding the framework of clinical significance.

TL;DR: The authors define sufficiently important difference (SID) as the smallest amount of patient-valued benefit that an intervention would require to justify associated costs, risks, and other harms and propose benefit-harm tradeoff methods.
Journal ArticleDOI

Trajectories of pain in adolescents: A prospective cohort study

TL;DR: It was found that reporting a painful trajectory was common among adolescents, but persistent pain was reported by a small minority, and was usually experienced at a single pain site.
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