TY - JOUR
T1 - National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy
AU - Stochkendahl, Mette Jensen
AU - Kjær, Per
AU - Hartvigsen, Jan
AU - Kongsted, Alice
AU - Aaboe, Jens
AU - Andersen, Margrethe
AU - Andersen, Mikkel Ø.
AU - Fournier, Gilles
AU - Højgaard, Betina
AU - Jensen, Martin Bach
AU - Jensen, Lone Donbæk
AU - Karbo, Ture
AU - Kirkeskov, Lilli
AU - Melbye, Martin
AU - Morsel-Carlsen, Lone
AU - Nordsteen, Jan
AU - Palsson, Thorvaldur Skuli
AU - Rasti, Zoreh
AU - Silbye, Peter Frost
AU - Steiness, Morten Zebitz
AU - Tarp, Simon
AU - Vaagholt, Morten
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Purpose: To summarise recommendations about 20 non-surgical interventions for recent onset (<12 weeks) non-specific low back pain (LBP) and lumbar radiculopathy (LR) based on two guidelines from the Danish Health Authority. Methods: Two multidisciplinary working groups formulated recommendations based on the GRADE approach. Results: Sixteen recommendations were based on evidence, and four on consensus. Management of LBP and LR should include information about prognosis, warning signs, and advise to remain active. If treatment is needed, the guidelines suggest using patient education, different types of supervised exercise, and manual therapy. The guidelines recommend against acupuncture, routine use of imaging, targeted treatment, extraforaminal glucocorticoid injection, paracetamol, NSAIDs, and opioids. Conclusion: Recommendations are based on low to moderate quality evidence or on consensus, but are well aligned with recommendations from international guidelines. The guideline working groups recommend that research efforts in relation to all aspects of management of LBP and LR be intensified.
AB - Purpose: To summarise recommendations about 20 non-surgical interventions for recent onset (<12 weeks) non-specific low back pain (LBP) and lumbar radiculopathy (LR) based on two guidelines from the Danish Health Authority. Methods: Two multidisciplinary working groups formulated recommendations based on the GRADE approach. Results: Sixteen recommendations were based on evidence, and four on consensus. Management of LBP and LR should include information about prognosis, warning signs, and advise to remain active. If treatment is needed, the guidelines suggest using patient education, different types of supervised exercise, and manual therapy. The guidelines recommend against acupuncture, routine use of imaging, targeted treatment, extraforaminal glucocorticoid injection, paracetamol, NSAIDs, and opioids. Conclusion: Recommendations are based on low to moderate quality evidence or on consensus, but are well aligned with recommendations from international guidelines. The guideline working groups recommend that research efforts in relation to all aspects of management of LBP and LR be intensified.
KW - Journal Article
KW - Review
KW - Recommendations
KW - Non-surgical intervention
KW - Clinical guideline
KW - Low back pain
KW - Lumbar radiculopathy
KW - Conservative treatment
KW - Low Back Pain/therapy
KW - Prognosis
KW - Pain Management/methods
KW - Humans
KW - Patient Education as Topic/methods
KW - Radiculopathy/therapy
KW - Musculoskeletal Manipulations/methods
KW - Conservative Treatment/methods
KW - Denmark
KW - Analgesics/therapeutic use
KW - Exercise Therapy/methods
KW - Pain Measurement
UR - http://www.scopus.com/inward/record.url?scp=85018513276&partnerID=8YFLogxK
U2 - 10.1007/s00586-017-5099-2
DO - 10.1007/s00586-017-5099-2
M3 - Review article
C2 - 28429142
SN - 0940-6719
VL - 27
SP - 60
EP - 75
JO - European Spine Journal
JF - European Spine Journal
IS - 1
ER -