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Review
. 2024 Feb 6;16(2):e53712.
doi: 10.7759/cureus.53712. eCollection 2024 Feb.

Emergency Department Management of Low Back Pain: A Comparative Review of Guidelines and Practices

Alec M Werthman  1 , Brayden D Jolley  1 , Andrew Rivera  1 , Melissa A Rusli  1
Affiliations
Review

Emergency Department Management of Low Back Pain: A Comparative Review of Guidelines and Practices

Alec M Werthman et al. Cureus. .

Abstract

This narrative review examines the current best practices and guidelines for integrating pharmacologic interventions, imaging, and physiotherapy in the management of low back pain. The review also explores how patient factors such as age, sex, comorbidities, and prevalent pathologies/diagnoses influence the choice and effectiveness of these treatment approaches.

Keywords: acute low back pain; chronic lower back pain; chronic pain; opioid use; pain alleviation; treating low-back pain.

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Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Wu A, March L, Zheng X, et al. Ann Transl Med. 2020;8:299. - PMC - PubMed
    1. Non-specific low back pain. Chenot JF, Greitemann B, Kladny B, Petzke F, Pfingsten M, Schorr SG. Dtsch Arztebl Int. 2017;114:883–890. - PMC - PubMed
    1. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Urits I, Burshtein A, Sharma M, et al. https://link.springer.com/article/10.1007/s11916-019-0757-1. Curr Pain Headache Rep. 2019;23:23. - PubMed
    1. Multivariable analysis of the relationship between pain referral patterns and the source of chronic low back pain. Laplante BL, Ketchum JM, Saullo TR, DePalma MJ. https://www.painphysicianjournal.com/linkout?issn=&vol=15&page=171. Pain Physician. 2012;15:171–178. - PubMed
    1. Low back pain in the emergency department: prevalence of serious spinal pathologies and diagnostic accuracy of red flags. Galliker G, Scherer DE, Trippolini MA, Rasmussen-Barr E, LoMartire R, Wertli MM. Am J Med. 2020;133:60–72. - PubMed

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