LBP ccgi guidlines

Question 1

management of recent onset for non specific low back pain

Answer 1

Structured pt ed (advice to stay active, reassurance, promote + facilitate return to work, self care)

+ ONE OF FOLLOWING

• exercise (ROM/strengthening) group/un/supervised
• Manip
• multimodal (Ex + CBT w/w/o manual therapy)
• combo of exercise + manual
• mm relaxants
• NSAIDs

Question 2

management of persistent (4-6m) LBP

Answer 2

Provide structured pt ed (advice to stay active, reassurance, promote and facilitate return to work/normal activities, self care

+ One of the Following

• exercise (group, ind, sup, unsup)
• Manip/mobs
• clinical/relaxation massage
• acu
• multimodal care (ex and manual with or w/ psychological)
• NSAIDs

Question 3

management of recent onset lumbar disc hern

Answer 3

Structured pt education (advice to stay active, reassurance, promote and facilitate return to work, self care advice)

+ ONE of the following

• manip
• multimodal care (manip + ex)

Question 4

management of persistent (4-6m) lumbar disc hern w radiculopathy

Answer 4

Provide structured pt education (advice to stay active, reassurance, promote + facilitate return to work/normal activities, self care)

and

refer to appropriate healthcare provider for further consideration of neuromuscular deficits