The RCGP - Clinical and Special Projects, Clinical Guidelines, Acute Low Back Pain. Contents, Index page




 


Chapter 2

Evidence Review

There is evidence against the following treatments

Narcotics for more than two weeks (CSAG 1994)

Benzodiazepines (diazepam) for more than two weeks (CSAG 1994)

Colchicine (AHCPR 1994)

Systemic Steroids (AHCPR 1994)

Bed rest with traction (CSAG 1994)

Manipulation under general anaesthesia (CSAG 1994)

Plaster jacket (CSAG 1994)

Bed rest with traction (CSAG 1994)

The evidence shows that bed rest with traction is not effective. It adds the complications of immobilisation to the deleterious effects of bed rest: in particular - joint stiffness, muscle wasting, loss of bone mineral, pressure sores and thrombo embolism.

[See also bed rest].

Pal et al 1986

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