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Management of Low Back Pain

• Published: March 2009
• Topic: Adult Low Back Pain
• Scope: Prevention, diagnosis, and management recommendations
• Abstract: This guideline is to help Alberta’s primary care providers make evidence-informed decisions about care of patients with non-specific, non-malignant low back pain. It makes recommendations for prevention, acute, subacute, and chronic low back pain
• Target Population: Adults patients 18 years or older in primary care settings
• Exclusions:
  • • Pregnant women
  • • Patients under the age of 18 years
  • • Diagnosis or treatment of specific causes of low back pain such as:
    • - Inpatient treatments (surgical treatments)
    • - Referred pain (from abdomen, kidney, ovary, pelvis, bladder)
    • - Iinflammatory conditions (rheumatoid arthritis, ankylosing spondylitis)
    • - Iinfections (neuralgia, discitis, osteomyelitis, epidural abscess)
    • - Degenerative and structural changes (spondylosis, spondylolisthesis, gross scoliosis and/or kyphosis)
    • - Fracture
    • - Neoplasm
    • - Metabolic bone disease (osteoporosis, osteomalacia, Paget’s Disease)
• Working Group Membership: Specialist physicians, family physicians, physical therapists, occupational therapists, pharmacists, RN, psychologists, health care manager, knowledge transfer specialist, researchers