acute low back pain

acute low back pain

Rehabilitation medicine A nonspecific symptom of abrupt onset or an exacerbation of chronic low back pain of < 3 wks in duration Management Continuing normal activities within the limits allowed by the pain leads to more rapid recovery than either bedrest or back-mobilizing exercises See Low back pain.
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The centralization phenomenon and fear-avoidance beliefs as prognostic factors for acute low back pain. J Orthop Sports Phys Ther 2005;35(12):844-5.
They define acute low back pain as lasting less than four weeks, sub-acute low back pain as lasting 4-12 weeks, and chronic low back pain as lasting more than 12 weeks.
Prevalence of and screening for serious spinal pathology in patients presenting to primary care settings with acute low back pain. Arthritis & Rheumatology.
Don't use diazepam (valium) for acute low back pain. It doesn't improve pain or function for this back pain.
Heat In a small 2014 study, people with acute low back pain reported that heat therapy, in combination with the nonsteroidal anti-inflammatory drug (NSAID) naproxen (Aleve), eased their discomfort better than coldpacks used in combination with naproxen.
In a Cochrane study of spinal manipulative treatment of acute low back pain, it was concluded that this treatment was not more effective than "sham" treatment when applied alone or in combination with other treatments in patients with acute low back pain, suggesting that it does not seem to be better than the current recommended treatments.
Of these, 23% becomes chronic pain and results in loss of working hours and significant negative economic impact.1 Bed rest for more than two days is not recommended, as rest and splinting leads to decondition, disuse atrophy of muscles, demineralization of bone, stiffness of the facets and other joints.2,3 Conversely, early mobility has been correlated with good prognosis.4,5 Numerous therapeutic choices[5] for the management of acute low back pain are available but a simple, noninvasive, safe approach associated with rapid recovery is yet to be determined.
However, there is a limited role of imaging in non-specific acute low back pain without the red flags, as the findings poorly correlate with symptoms.
NIA WAGENAAR .BUSINESS MANAGER.: My own experience of an episode of acute low back pain made me aware of how horrible it can be and how fantastic it is to get it put right.

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