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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

Treatment-based subgroups of low back pain: A guide to appraisal of research studies and a summary of current evidence

TL;DR: It is proposed that studies evaluating treatment-based subgroups can be interpreted in the context of a three-stage process: hypothesis generation-proposal of clinical features to define subgroups; hypothesis testing-a randomised controlled trial to test that subgroup membership modifies the effect of a treatment; and replication-another RCT to confirm the results of stage 2 and ensure that findings hold beyond the specific original conditions.
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Individual and occupational determinants of low back pain according to various definitions of low back pain

TL;DR: Prevalence of low back pain varied from 8% to 45% according to the definition used, whereas other risk factors were related to some specific dimensions of the disorder.
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Iatrogenic consequences of early magnetic resonance imaging in acute, work-related, disabling low back pain.

TL;DR: Early MRI without indication has a strong iatrogenic effect in acute LBP, regardless of radiculopathy status, and providers and patients should be made aware that when early MRI is not indicated, it provides no benefits, and worse outcomes are likely.
Journal ArticleDOI

Treatment of chronic low back pain with etoricoxib, a new cyclo-oxygenase-2 selective inhibitor: improvement in pain and disability—a randomized, placebo-controlled, 3-month trial☆

TL;DR: Etoricoxib given once daily provided significant relief of symptoms, and disability associated with chronic LBP that was observed 1 week after initiating therapy, was maximal at 4 weeks, and was maintained over 3 months.
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