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European Spine Journal
Published in: European Spine Journal 1/2018

01-01-2018 | Review Article

National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy

Authors: Mette Jensen Stochkendahl, Per Kjaer, Jan Hartvigsen, Alice Kongsted, Jens Aaboe, Margrethe Andersen, Mikkel Ø. Andersen, Gilles Fournier, Betina Højgaard, Martin Bach Jensen, Lone Donbæk Jensen, Ture Karbo, Lilli Kirkeskov, Martin Melbye, Lone Morsel-Carlsen, Jan Nordsteen, Thorvaldur Skuli Palsson, Zoreh Rasti, Peter Frost Silbye, Morten Zebitz Steiness, Simon Tarp, Morten Vaagholt

Published in: European Spine Journal | Issue 1/2018

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Abstract

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.
Appendix
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Metadata
Title
National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy
Authors
Mette Jensen Stochkendahl
Per Kjaer
Jan Hartvigsen
Alice Kongsted
Jens Aaboe
Margrethe Andersen
Mikkel Ø. Andersen
Gilles Fournier
Betina Højgaard
Martin Bach Jensen
Lone Donbæk Jensen
Ture Karbo
Lilli Kirkeskov
Martin Melbye
Lone Morsel-Carlsen
Jan Nordsteen
Thorvaldur Skuli Palsson
Zoreh Rasti
Peter Frost Silbye
Morten Zebitz Steiness
Simon Tarp
Morten Vaagholt
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 1/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-017-5099-2

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A comparison of the type IX collagen levels of the intervertebral disc materials in diabetic and non-diabetic patients who treated with lumbar microdiscectomy

Original Article

Non-specific chronic low back pain: differences in spinal kinematics in subgroups during functional tasks

Erratum

Erratum to: Delayed post-operative tension pneumocephalus and pneumorrhachis

Original Article

Reliability and validity of the cross-culturally adapted Turkish version of the Core Outcome Measures Index for low back pain