Changes in Primary Care Guidelines for Lower Back Pain

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A study by Trager, Buchbinder, Harris and Maher (2017) Has examined new policy on effective treatment of lower back pain and how this may be adopted by health practitioners worldwide.

Lower back pain (LBP) is the most common cause of disability worldwide, the second most common reason for seeking care from a GP, and the most prevalent cause of early retirement and income poverty.

GPs have traditionally prescribed pain medicine to treat patients with lower back pain. However, research have shown that these medicines may have little or no effect, showing the same reduction in perceived pain to a placebo.

Therefore, new guidelines from the UK National Institute for Health and Care Excellence clinical guidelines for low-back pain and sciatica and the clinical practice guideline from the American College of Physicians have suggested a global shift in LBP treatment.

These new guidelines have outlined that more effective way of treating pain could be through the adoptions of physiotherapy, spinal manipulation, acupuncture, or the combination of multi-disciplinary rehabilitation programs. For chronic pain, yoga and mindfulness training are suggested as best practice options.



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