Management of low back pain – treatment strategies

Anna Kuryliszyn-Moskal

eISSN: 2084-9834
ISSN: 0034-6233

Reumatologia/Rheumatology

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6/2009
vol. 47

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abstract:

Review paper

Management of low back pain – treatment strategies

Anna Kuryliszyn-Moskal

Reumatologia 2009; 47, 6: 368-371

Online publish date: 2010/04/08

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Low back pain is becoming one of the most serious problems in present-day medicine. This paper briefly reviews the diagnostic, clinical and therapeutic problems of low back pain. The effectiveness of medication (pharmacological and non-pharmacological) for acute and chronic low back pain is discussed. The recent data suggest that therapies with good evidence of moderate efficacy for chronic or subacute low back pain are cognitive-behavioural therapy, exercise, and interdisciplinary rehabilitation. The only therapy with good evidence of efficacy for acute low back pain is superficial heat. In conclusion, therapeutic management should be inter-disciplinary and focused on cooperation between different specialists. On the other hand, patient preferences, cost, availability and clinical features are important for making an appropriate decision concerning treatment strategy.

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low back pain, strategies of treatment

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