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Review
. 2017 Dec 20;1(1):1-6.
doi: 10.22603/ssrr.1.2016-0022. eCollection 2017.

The Recent Trend in Diagnosis and Treatment of Chronic Low Back Pain

Shinichi Kikuchi  1
Affiliations
Review

The Recent Trend in Diagnosis and Treatment of Chronic Low Back Pain

Shinichi Kikuchi. Spine Surg Relat Res. .

Abstract

Introduction: Development of evidence-based medicine has made a big change in diagnosis and treatment of chronic low back pain. The recent trend is assessed through a review of literature.

Methods: The articles published in these 10 years are reviewed, and important points are examined.

Results: In diagnosis, challenges for history taking and limit of imaging or clinical guidelines are revealed. In treatment, cognitive behavioral treatment and exercises are proved effective. Sleep disturbance has recently attracted attention as a factor associated with low back pain. Cost-effectiveness of diagnosis and treatment modalities has come to be emphasized.

Conclusions: Diagnosis and treatment of chronic low back pain have been significantly changing. Multidisciplinary and multidimensional approach is essential. Chronic low back pain should be treated as a total pain, not a local pain.

Keywords: chronic low back pain; diagnosis; treatment.

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Conflict of interest statement

Conflict of Interest: The author declares that there are no conflicts of interest.

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