Acute and Chronic Low Back Pain

Med Clin North Am. 2016 Jan;100(1):169-81. doi: 10.1016/j.mcna.2015.08.015.

Abstract

Low back pain is an extremely common presenting complaint that occurs in upward of 80% of persons. Treatment of an acute episode of back pain includes relative rest, activity modification, nonsteroidal anti-inflammatories, and physical therapy. Patient education is also imperative, as these patients are at risk for further future episodes of back pain. Chronic back pain (>6 months' duration) develops in a small percentage of patients. Clinicians' ability to diagnose the exact pathologic source of these symptoms is severely limited, making a cure unlikely. Treatment of these patients should be supportive, the goal being to improve pain and function.

Keywords: Acute low back pain; Chronic low back pain; Patient education; Treatment protocols.

Publication types

  • Review

MeSH terms

  • Acute Pain / therapy*
  • Anti-Inflammatory Agents / therapeutic use
  • Chronic Pain / therapy*
  • Humans
  • Low Back Pain / therapy*
  • Pain Measurement
  • Physical Therapy Modalities
  • Risk Factors

Substances

  • Anti-Inflammatory Agents