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Daily Archives: June 25, 2010

European Guidelines for the Management of Acute and Chronic Nonspecific Low Back Pain in Primary Care

By |June 25, 2010|Guidelines, Low Back Pain, News, Unnecessary Surgery|

European Guidelines for the Management of Acute and Chronic Nonspecific Low Back Pain in Primary Care

The Chiro.Org Blog


You will enjoy these recent European evidence-based guidelines for the management of acute and chronic low back pain.

Both the Acute Back Pain Guideline and the
Chronic Back Pain Guideline recommend spinal manipulation
as an effective conservative treatment.


Interestingly, MOST of what’s considered “standard medical treatment” are listed as
Invasive treatments, that should NOT be recommended for non-specific CLBP.

Non-recommended medical treatments include:

  • Bed rest,
  • Acupuncture,
  • intradiscal injections,
  • epidural corticosteroid injections,
  • intra-articular (facet) steroid injections,
  • local facet nerve blocks,
  • trigger point injections,
  • prolotherapy,
  • botulinum toxin,
  • radiofrequency facet denervation,
  • intradiscal radiofrequency lesioning,
  • intradiscal electrothermal therapy,
  • radiofrequency lesioning of the dorsal root ganglion,
  • and spinal cord stimulation

(more…)