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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

A Multicentre Placebo-Controlled Study in General Practice to Evaluate the Efficacy and Safety of Tizanidine in Acute Low-Back Pain

TL;DR: Results for pain at rest, pain at night, restriction of movement and pain on movement suggest that tizanidine may give greater improvement, earlier, in patients with severe acute low-back pain, and sedation, analgesia and bed rest might be beneficial and desired.
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Addressing patient beliefs and expectations in the consultation

TL;DR: A clear and more focussed approach to the identification and management of patient beliefs and expectations is recommended, which considers not only the nature of the therapeutic climate, but also the style and content that could enhance the effectiveness of the communication.
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What triggers an episode of acute low back pain? A case-crossover study.

TL;DR: To investigate a range of transient risk factors for an episode of sudden‐onset, acute low back pain (LBP), a large number of patients with a history of back pain or pain‐like symptoms are surveyed.
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Preference, Expectation, and Satisfaction in a Clinical Trial of Behavioral Interventions for Acute and Sub-Acute Low Back Pain

TL;DR: In this paper, patients with higher expectations had lower disability at baseline, 4 weeks, and 6 months, while those with higher expectation had lower pain and disability scores throughout the trial, and patient satisfaction was highest with treatment delivery and much lower with treatment effect.
Journal ArticleDOI

Efficacy and tolerability of muscle relaxants for low back pain: Systematic review and meta-analysis

TL;DR: Five trials provide high quality evidence that muscle relaxants provide clinically significant pain relief in the short term for acute LBP, and there was no eligible RCT evidence to support the efficacy of benzodiazepines in LBP.
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