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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

Contemporary low back pain research – and implications for practice

TL;DR: New perspectives and research studies that show promise, and alternative approaches to non-medical management that suggest alternatives to current clinical and research paradigms are reviewed.
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Group cognitive behavioural interventions for low back pain in primary care: extended follow-up of the Back Skills Training Trial (ISRCTN54717854).

TL;DR: An extended follow‐up of a randomised controlled trial of a cognitive behavioural intervention for low back pain indicates that effects on disability and pain are maintained to at least 34 months, and although pain improves in response to best practice advice, longer‐term recovery of disability remains substantially less.
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“Lovely Pie in the Sky Plans”: A Qualitative Study of Clinicians’ Perspectives on Guidelines for Managing Low Back Pain in Primary Care in England

TL;DR: In this paper, the authors conducted a qualitative study in south-west England primary care to clarify the decision-making processes that result in the delivery of particular treatments to patients with low back pain (LBP) in primary care and examine clinicians' perspectives on the English National Institute for Health and Care Excellence (NICE) clinical guidelines for managing LBP.
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Prevalence and "Red Flags" Regarding Specified Causes of Back Pain in Older Adults Presenting in General Practice

TL;DR: Multivariable regression analysis showed that age of ≥75 years, trauma, osteoporosis, a back pain intensity score of ≥7, and thoracic pain were associated with a higher chance of getting the diagnosis of a vertebral fracture.
Journal ArticleDOI

Intra-articular facet joint injections for low back pain: a systematic review

TL;DR: The positive results, whilst interpreted with caution, do suggest that there is a need for further high-quality work in this area, and a number of methodological issues were identified.
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