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Summary of Common Recommendations for Treatment of Low back pain
Acute or Subacute Pain
* Reassure patients (favourable prognosis).
* Advise to stay active.
* Prescribe medication if necessary (preferably time-contingent): first line is paracetamol; second line is nonsteroidal antiinflammatory drugs, consider muscle relaxants, opioids or antidepressant and anticonvulsive medication (as co-medication for pain relief).
* Discourage bed rest.
* Do not advise a supervised exercise programme.
Chronic Pain
* Discourage use of modalities (such as ultrasound, electrotherapy)
* Short-term use of medication/manipulation
* Supervised exercise therapy
* Cognitive behavioural therapy
* Multidisciplinary treatment