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1. Use of back belts to prevent occupational low-back pain

Use of back belts to prevent occupational low-back pain Use of back belts to prevent occupational low-back pain | CMAJ Main menu User menu Search Search for this keyword Search for this keyword Practice Use of back belts to prevent occupational low-back pain Recommendation statement from the Canadian Task Force on Preventive Health Care Recommendation The Canadian Task Force on Preventive Health Care concludes that the existing evidence is conflicting and does not allow the task force to make (...) a recommendation for or against the use of back belts to either prevent occupational low-back pain or to reduce lost work time due to occupational low-back pain (grade C recommendation). In Canada, back injuries account for over 25% of all lost time claims, the largest single claims category in most workers' compensation jurisdictions. Low-back pain (LBP), which is often seen initially in primary care practice, is estimated to be the most costly ailment in working-age adults. Disability resulting from LBP

2003 CPG Infobase

2. Low back pain and sciatica in over 16s: assessment and management

Low back pain and sciatica in over 16s: assessment and management L Low back pain and sciatica in o ow back pain and sciatica in ov ver 16s: er 16s: assessment and management assessment and management NICE guideline Published: 30 November 2016 nice.org.uk/guidance/ng59 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view (...) in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Low back pain and sciatica in over 16s: assessment and management (NG59) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

3. 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

4. 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

5. 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

6. Back pain - low (without radiculopathy)

Back pain - low (without radiculopathy) Back pain - low (without radiculopathy) - NICE CKS Clinical Knowledge Summaries Share Back pain - low (without radiculopathy): Summary Low back pain affects the lumbosacral area of the back, between the bottom of the ribs and the top of the legs. It affects around one third of the adult population each month. In most people, low back pain is non-specific and serious specific causes are rare. Complications include: Development of chronicity and depression (...) . Disability and loss of employment. Non-specific low back pain is often a chronic problem in which periods of little pain or disability are interrupted by acute episodes of severe pain. In people with low back pain: Serious spinal pathology, inflammatory features, and sciatica should be excluded. Non-specific low back pain should be diagnosed in people with low back pain which varies with posture and is exacerbated by movement. X-rays of the back should not routinely be requested to diagnose non-specific

2014 NICE Clinical Knowledge Summaries

7. Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain

Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain Interventional Therapies, Surgery, and Interdisciplinary Reh... : Spine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account Registered users can save articles (...) your request. Please try after some time. Export to End Note Procite Reference Manager Save my selection doi: 10.1097/BRS.0b013e3181a1390d Literature Review Buy Study Design. Clinical practice guideline . Objective. To develop evidence-based recommendations on use of interventional diagnostic tests and therapies, surgeries, and interdisciplinary rehabilitation for low back pain of any duration, with or without leg pain. Summary of Background Data. Management of patients with persistent

2009 American Pain Society

8. Low Back Pain, Guideline for Hospitalization for

Low Back Pain, Guideline for Hospitalization for Medical Treatment Guidelines Washington State Department of Labor and Industries Guideline for hospitalization for low back pain The following guideline replaces Criteria for Non-Surgical Hospital Admission for Acute and Chronic Low Back Pain. Changes in Practice Patterns: Several years ago it was fairly common for physicians to hospitalize patients for medical management of low back pain. Typically, hospitalized patients were treated with bed (...) rest, traction, and medication. The frequency with which low back pain patients are hospitalized for medical management has dropped dramatically during the past ten years. This trend applies to both the injured worker population and other patient groups. For example, in 1986 there were approximately 1500 hospitalizations for medical management of low back pain among L&I patients; in 1996, the corresponding number was about 70. The present guidelines reflect the current consensus

1998 Washington State Department of Labor and Industries

9. 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)

10. 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)

11. 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

12. 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

13. 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

14. Evidence-Informed Primary Care Management of Low Back Pain

Evidence-Informed Primary Care Management of Low Back Pain Guideline for the Low Back Pain Low Back Pain Evidence-Informed Primary Care Management of Guideline Specifications Disease/Condition(s) Targeted Acute and sub-acute low back pain Chronic low back pain Acute and sub-acute sciatica/radiculopathy Chronic sciatica/radiculopathy Category Prevention Diagnosis Evaluation Management Treatment These recommendations are systematically developed statements to assist practitioner and patient (...) decisions about appropriate health care for specific clinical circumstances. They should be used as an adjunct to sound clinical decision making. Intended Users Primary health care providers, for example: family physicians, osteopathic physicians, chiro- practors, physical therapists, occupational therapists, nurses, pharmacists, psychologists. Purpose To help Alberta clinicians make evidence-informed decisions about care of patients with non- specific low back pain. Objectives • To increase the use

2011 Toward Optimized Practice

15. Low Back Pain

Low Back Pain Date of origin: 1996 Last review date: 2015 ACR Appropriateness Criteria ® 1 Low Back Pain American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Low Back Pain Variant 1: Acute, subacute, or chronic uncomplicated low back pain or radiculopathy. No red flags. No prior management. Radiologic Procedure Rating Comments RRL* MRI lumbar spine without IV contrast 2 O X-ray lumbar spine 2 ??? CT myelography lumbar spine 2 ???? Tc-99m bone scan with SPECT spine 2 (...) If there is concern for spondylolysis in a young patient, SPECT/CT remains the gold standard. ??? CT lumbar spine without IV contrast 2 ??? CT lumbar spine with IV contrast 2 ??? MRI lumbar spine without and with IV contrast 2 O CT lumbar spine without and with IV contrast 1 ???? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Low Back Pain Clinical Condition: Low Back Pain Variant 2: Acute, subacute

2015 American College of Radiology

16. Back Pain ? Child

Back Pain ? Child New2016 ACR Appropriateness Criteria ® 1 Back Pain–Child American College of Radiology ACR Appropriateness Criteria ® Back Pain–Child Variant 1: Child. Back pain with none of the following clinical red flags: constant pain, night pain, radicular pain, pain lasting >4 weeks, abnormal neurologic examination. Initial imaging evaluation. Radiologic Procedure Rating Comments RRL* X-ray spine area of interest 2 See references [1,4-6,8,9,11,12,21]. Varies MRI complete spine without (...) ; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Back Pain–Child Variant 2: Child. Back pain with 1 or more of the following clinical red flags: constant pain, night pain, radicular pain, pain lasting >4 weeks, abnormal neurologic examination. Initial imaging evaluation. Radiologic Procedure Rating Comments RRL* X-ray spine area of interest 8 See references [1,4-6,9]. Varies MRI complete spine without IV contrast 5 This procedure may be appropriate

2016 American College of Radiology

17. Chronic Back Pain: Suspected Sacroiliitis/Spondyloarthropathy

Chronic Back Pain: Suspected Sacroiliitis/Spondyloarthropathy Date of origin: 2016 ACR Appropriateness Criteria ® 1 Chronic Back Pain American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Chronic Back Pain: Suspected Sacroiliitis/Spondyloarthropathy Variant 1: Inflammatory sacroiliac or back symptoms. Suspected axial spondyloarthropathy. Initial evaluation. Radiologic Procedure Rating Comments RRL* X-ray sacroiliac joints 9 ?? X-ray spine 9 Complementary examination (...) with SPECT spine 1 ??? FDG-PET CT whole body 1 ???? US sacroiliac joints 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Chronic Back Pain Clinical Condition: Chronic Back Pain: Suspected Sacroiliitis/Spondyloarthropathy Variant 2: Inflammatory sacroiliac symptoms. Suspected axial spondyloarthropathy. Radiographs negative or equivocal. Radiologic Procedure Rating Comments RRL* MRI sacroiliac

2016 American College of Radiology

18. 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

19. 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

20. Low back pain in adults: early management

Low back pain in adults: early management Low back pain in adults: early management | Guidance | NICE Low back pain in adults: early management Clinical guideline [CG88] Published date: May 2009 Guidance This guidance has been updated and replaced by . Explore © NICE [year]. All rights reserved. Subject to .

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

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