How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,628 results for

back pain

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

21. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians.

Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. | National Guideline Clearinghouse success fail JUN 09 2017 2018 2019 13 Jul 2017 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team (...) NGC:011196 2017 Apr 4 NEATS Assessment Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Qaseem A, Wilt TJ, McLean RM, Forciea MA, Clinical Guidelines Committee of the American College of Physicians. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-30. [184 references

2017 National Guideline Clearinghouse (partial archive)

22. Low Back Pain, Adult Acute and Subacute

Low Back Pain, Adult Acute and Subacute Health Care Guideline: Adult Acute and Subacute Low Back Pain www.icsi.org Copyright © 2017 by Institute for Clinical Systems Improvement 1 Diagnosis Algorithm Text in blue in this algorithm indicates a linked corresponding annotation. Adult patient present with acute or subacute low back pain History and exam: • Pain characteristics • Sensory and strength changes • Prior treatment and response yes Complete assessment tools for pain and function (...) fracture in a patient with low back pain include older age, prolonged corticosteroid use, severe trauma and the presence of contusion or abrasion. These red flags increased the probability of fracture to between 10% and 33% (Downie, 2013). In addition, probability of fracture was higher (increased to between 42% and 90%) with the coexistence of multiple red flags, specifically: (Downie, 2013) • The combination of any four of leg or buttock pain, female, older age, BMI 70, severe trauma, prolonged use

2018 Institute for Clinical Systems Improvement

23. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians

Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal (...) Medicine . You will be directed to acponline.org to complete your purchase. Search Clinical Guidelines | 4 April 2017 Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians Free Amir Qaseem, MD, PhD, MHA; Timothy J. Wilt, MD, MPH; Robert M. McLean, MD; Mary Ann Forciea, MD; for the Clinical Guidelines Committee of the American College of Physicians Amir Qaseem, MD, PhD, MHA From the American College of Physicians

2017 American College of Physicians

24. Low Back Pain, Adult Acute and Subacute

Low Back Pain, Adult Acute and Subacute Guidelines | ICSI The MN Health Collaborative includes physicians and other representatives from major healthcare organizations working together to address major health topics affecting Minnesota communities today. ICSI has been developing evidence-based clinical practice guidelines to improve patient care since 1993. ICSI helps forward-focused Minnesota health organizations find ways to redefine and redesign systems and the market. Together, we aim (...) College of Cardiology (ACC)/American Heart Association (AHA). March 29, 2018 "/> Adult patients age 18 and over in primary care who have symptoms of low back pain or radiculopathy. The focus is on the acute (pain for up to 7 weeks) and subacute (pain for between 7 and 12 weeks) phases of low back pain. It includes the ongoing management, including indications for spine specialist referral within the first 12 weeks of onset. July 27, 2017 "/> This guideline is targeted toward identification of adult

2017 Institute for Clinical Systems Improvement

25. Diagnosis and Treatment of Low Back Pain

Diagnosis and Treatment of Low Back Pain VA/DoD CLINICAL PRACTICE GUIDELINE FOR DIAGNOSIS AND TREATMENT OF LOW BACK PAIN Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should not be construed (...) and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 2.0 – 2017VA/DoD Clinical Practice Guideline for Diagnosis and Treatment of Low Back Pain September 2017 Page 2 of 110 Prepared by: The Diagnosis and Treatment of Low Back Pain Work Group With support from: The Office of Quality, Safety

2017 VA/DoD Clinical Practice Guidelines

26. Diagnosis and Treatment of Low Back Pain

Diagnosis and Treatment of Low Back Pain Low Back Pain -- Clinical Recommendation Welcome Search Search Specify your search AAFP.org Patient Care Clinical Practice Guideline Low Back Pain Diagnosis and Treatment of Low Back Pain (Endorsed, April 2017) The guideline, Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain , was developed by the American College of Physicians and was endorsed by the American Academy of Family Physicians. Key Recommendations Nonpharmacologic (...) treatment, including superficial heat, massage, acupuncture, or spinal manipulation, should be used initially for most patients with acute or subacute low back pain, as they will improve over time regardless of treatment. When pharmacologic treatment is desired, nonsteroidal anti-inflammatory drugs (NSAIDs) or skeletal muscle relaxants should be used. Nonpharmacologic treatment, including exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction, tai chi, yoga, motor

2017 American Academy of Family Physicians

27. Low Back Pain

Low Back Pain Clinical Guidelines ANTHONY DELITTO, PT , PhD • STEVEN Z. GEORGE, PT , PhD • LINDA VAN DILLEN, PT , PhD • JULIE M. WHITMAN, PT , DSc GWENDOLYN SOWA, MD, PhD • PAUL SHEKELLE, MD, PhD • THOMAS R. DENNINGER, DPT • JOSEPH J. GODGES, DPT , MA Low Back Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association J Orthop Sports Phys Ther. 2012;42(4):A1-A57 (...) AUTHOR/REVIEWER AFFILIATIONS AND CONTACTS . . . . . . A47 REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A48 42-04 Guidelines.indd 1 3/21/2012 5:07:07 PMLow Back Pain: Clinical Practice Guidelines a2 | april 2012 | volume 42 | number 4 | journal of orthopaedic & sports physical therapy RISK FACTORS: Current literature does not support a defini - tive cause for initial episodes of low back pain. Risk factors

2012 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

28. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: Injection therapies, low-back pain, and lumbar fusion

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: Injection therapies, low-back pain, and lumbar fusion J Neurosurg Spine 21:79–90, 2014 79 ©AANS, 2014 J Neurosurg: Spine / Volume 21 / July 2014 Therapeutic Recommendations There is no new evidence that conflicts with the pre - vious recommendations regarding injection therapies pub- lished in the original version of the “Guidelines for the per - formance of fusion procedures (...) for degenerative disease of the lumbar spine.” 27 Lumbar Epidural Steroid Injections Grade C Lumbar epidural steroid injections (ESIs) are an op- tion for the short-term relief of chronic low-back pain without radiculopathy in patients with degenerative dis- ease of the lumbar spine (Level III evidence). Caudal ESIs are an option for decreasing low-back pain of greater than 6 weeks’ duration, without radiculop - athy, in patients with degenerative disease of the lumbar spine (Level III evidence). Lumbar Facet

2014 Congress of Neurological Surgeons

29. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis J Neurosurg Spine 21:42–47, 2014 42 ©AANS, 2014 J Neurosurg: Spine / Volume 21 / July 2014 Recommendations There is no evidence that conflicts with the previous recommendations published in the original version of the Lumbar Fusion Guidelines (“Guidelines for the perfor- mance of fusion procedures (...) for degenerative disease of the lumbar spine”). Grade B Lumbar fusion or a comprehensive rehabilitation pro- gram incorporating cognitive therapy are recommended as treatment alternatives for patients with chronic low- back pain that is refractory to traditional conservative treatment, such as physical therapy, and is due to 1- or 2-level degenerative disc disease without stenosis or spon- dylolisthesis (multiple Level II studies). It is recommended that lumbar fusion be performed for patients whose low-back

2014 Congress of Neurological Surgeons

30. Acute Low Back Pain

Acute Low Back Pain 1 Quality Department Guidelines for Clinical Care Ambulatory Low Back Pain Guideline Team Team leader Anthony E. Chiodo, MD Physical Medicine & Rehabilitation Team members David J. Alvarez, DO Family Medicine Gregory P. Graziano, MD Orthopedic Surgery Andrew J. Haig, MD Physical Medicine & Rehabilitation R. Van Harrison, PhD Medical Education Paul Park, MD Neurosurgery Connie J. Standiford, MD General Internal Medicine Consultant Ronald A. Wasserman, MD Anesthesiology, Back (...) and Pain Center Initial Release November, 1997 Interim/Minor Revision December, 2011 Most Recent Major Update January, 2010 Ambulatory Clinical Guidelines Oversight William E. Chavey, MD R. Van Harrison, PhD Connie J. Standiford, MD Literature Search Service Taubman Health Sciences Library For more information 734-936-9771 © Regents of the University of Michigan Acute Low Back Pain Patient population: Adults (>18 years) with pain 3 weeks: If no improvement obtain MRI [IIB*]. If not diagnostic, obtain

2011 University of Michigan Health System

31. VA/DoD clinical practice guideline for diagnosis and treatment of low back pain.

VA/DoD clinical practice guideline for diagnosis and treatment of low back pain. VA/DoD clinical practice guideline for diagnosis and treatment of low back pain. | National Guideline Clearinghouse success fail JUN 09 2017 2018 2019 13 Apr 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites for the sake of history (...) at . TIMESTAMPS Search Sign In Username or Email * Password * Remember Me Don't have an account? The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will no longer be available to support the NGC as of that date. For additional information, read our . Guideline Summary NGC:011288 2017 Sep NEATS Assessment VA/DoD clinical practice guideline for diagnosis and treatment of low back pain. Diagnosis and Treatment

2017 National Guideline Clearinghouse (partial archive)

32. Back Pain

Back Pain © 2012 Kaiser Foundation Health Plan of Washington. All rights reserved. 1 Non-specific Back Pain Guideline Major Changes as of March 2017 2 Background 2 Key points about back pain 2 Medications for back pain: differences from the ACP guideline 2 Assessment 4 Pain and function assessment (PEG Tool) 4 History and physical exam 4 Diagnosis of non-specific back pain 4 Red flag warning signs requiring immediate or urgent evaluation 5 Complexity stratification 5 Back Pain Risk (...) Stratification Tool (STarT Back) 6 Treatment 7 Recommended interventions by patient complexity 7 Recommended non-pharmacologic interventions 8 Non-pharmacologic interventions that are not recommended 9 Pharmacologic Options 10 Preferred medications: acetaminophen, NSAIDs 10 Adjunct therapy for chronic pain: duloxetine 10 Special considerations: opioids 10 Medications that are not recommended 11 Follow-up/Monitoring 11 Evidence Summary 12 References 15 Clinician Lead and Guideline Development 17 Last

2017 Kaiser Permanente Clinical Guidelines

33. American Osteopathic Association guidelines for osteopathic manipulative treatment (OMT) for patients with low back pain.

American Osteopathic Association guidelines for osteopathic manipulative treatment (OMT) for patients with low back pain. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here

2010 American Osteopathic Association

34. Management of acute low back pain.

Management of acute low back pain. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding for the National Guideline Clearinghouse (NGC) has

2008 Michigan Quality Improvement Consortium

35. Neck and back trauma

immobilisation. 25 Immobilisation – hazards The value of routine out of hospital spinal immobilisation remains uncertain and any bene?ts may be outweighed by the risks of rigid collar immobilisation, including: 1. airway dif?culties 2. increased intra-cranial pressure 26-31 3. increased risk of aspiration 32 4. restricted respiration 33,34 5. dysphagia 35 6. skin ulceration 36-38 7. can induce pain, even in those with no injury 10,39 Neck and Back Trauma Trauma Emergencies October 2006 Page 1 of 8 Trauma (...) by vehicles are likely to suffer SCI. Ejection from a vehicle increases the risk of injury signi?cantly. Certain sporting accidents, especially diving into shallow water, horse riding, rugby, gymnastics and trampolining have a higher than average risk of SCI. Rapid deceleration injury such as gliding and light aircraft accidents also increases the risk of SCI. Examination Speci?c signs of SCI The patient may complain of: ? neck or back pain ? loss of sensation in the limbs ? loss of movement in the limbs

2006 Joint Royal Colleges Ambulance Liaison Committee

36. Trauma - neck and back trauma

immobilisation. 25 Immobilisation – hazards The value of routine out of hospital spinal immobilisation remains uncertain and any bene?ts may be outweighed by the risks of rigid collar immobilisation, including: 1. airway dif?culties 2. increased intra-cranial pressure 26-31 3. increased risk of aspiration 32 4. restricted respiration 33,34 5. dysphagia 35 6. skin ulceration 36-38 7. can induce pain, even in those with no injury 10,39 Neck and Back Trauma Trauma Emergencies October 2006 Page 1 of 8 Trauma (...) by vehicles are likely to suffer SCI. Ejection from a vehicle increases the risk of injury signi?cantly. Certain sporting accidents, especially diving into shallow water, horse riding, rugby, gymnastics and trampolining have a higher than average risk of SCI. Rapid deceleration injury such as gliding and light aircraft accidents also increases the risk of SCI. Examination Speci?c signs of SCI The patient may complain of: ? neck or back pain ? loss of sensation in the limbs ? loss of movement in the limbs

2007 Joint Royal Colleges Ambulance Liaison Committee

37. Neck pain - non-specific: How should I assess someone with non-specific neck pain?

of the knees when patient is on his/her back and the neck is bent forwards) to demonstrate nuchal rigidity if meningitis is suspected. Exclude of neck pain. Cervical X-rays, and other imaging studies and investigations are not routinely required. Identify and urgently refer people with indicative of a serious spinal pathology. Grading of neck pain Neck pain can be considered in four categories: Grade 1 — No signs of major pathology and little interference with daily activities. Grade 2 — No signs of major (...) Neck pain - non-specific: How should I assess someone with non-specific neck pain? Assessment | Diagnosis | Neck pain - non-specific | CKS | NICE Search CKS… Menu Assessment Neck pain - non-specific: How should I assess someone with non-specific neck pain? Last revised in October 2018 How should I assess someone with non-specific neck pain? The diagnosis of non-specific neck pain is clinical — further investigation is not normally required. Take a detailed medical history and conduct

2018 NICE Clinical Knowledge Summaries

38. Improving the Lives of People with Complex Chronic Pain: How to Commission Effective Pain Management

that chronic pain will become a greater problem for patients, their families and society [17]. However, chronic pain is not a disease of old age alone. Half of people with chronic pain are of working age will have time off work because of their symptoms and 25% will lose their employment. Pain is the second most common reason given by claimants of welfare benefit [16]. In his 2009 publication, the Chief Medical Officer summarised the economic burden of chronic pain: ‘ It is estimated that back pain alone (...) interventions in primary care and will eventually exhaust available options [19]. 7. Facts demonstrating the impact of chronic pain ? £584 million is spent on prescriptions for painkillers in the UK [11] ? The economic cost of pain is estimated to be up to 10% of GDP [11] o £12 billion spent on back pain ? 41% of patients reported that their pain prevented them from working [15] ? Patients with chronic pain make significant demands on healthcare resources [16]: o They consult their GPs up to five times more

2020 Faculty of Pain Medicine

39. Chest pain: What history should I take from a person with chest pain?

, duration, site, and radiation of chest pain. An acute onset, with central or band-like chest pain which radiates to the person's jaw, arms, or back, is strongly suggestive of chest pain. Persistent, localized chest pain is more suggestive of a or musculoskeletal cause. Exacerbating and relieving factors of chest pain. Chest pain related to exertion is typical of angina. For more information, see the CKS topic on . Chest pain that is related to inspiration (pleuritic) may suggest a musculoskeletal (...) Chest pain: What history should I take from a person with chest pain? History | Diagnosis | Chest pain | CKS | NICE Search CKS… Menu History Chest pain: What history should I take from a person with chest pain? Last revised in April 2020 What history should I take from a person with chest pain? Check whether the person currently has chest pain. If they are pain free, ask when their last episode of pain was, and in particular if it was within the last 12 hours. Ask about: The nature, onset

2017 NICE Clinical Knowledge Summaries

40. Chest pain: What are the signs and symptoms of cardiac causes of chest pain?

angina For information on the diagnosis of stable angina, see the CKS topic on . Dissecting thoracic aneurysm Symptoms — sudden tearing chest pain radiating to the back and inter-scapular region. Signs — high blood pressure, blood pressure differentials (different in both arms), inequality in pulses (carotid, radial, femoral), a new diastolic murmur (aortic value regurgitation); and occasionally a pericardial friction rub. Neurological deficits may be present (such as hemiplegia). Pericarditis (...) of chest pain. Almost all people with suspected acute coronary syndrome require hospital admission or referral to confirm the diagnosis. Suspect acute coronary syndrome, if: Pain in the chest or other areas (for example the arms, back, or jaw) lasts longer than 15 minutes. Chest pain is: Associated with nausea and vomiting, sweating or breathlessness, or a combination of these. Associated with haemodynamic instability (for example the person has a systolic blood pressure less than 90 mmHg). Of a new

2017 NICE Clinical Knowledge Summaries

Guidelines

Guidelines – filter by country