Skip to main content

Back Pain, Low

Vasilios Chrisostomidis, DO Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Low back pain (LBP) is extremely common and includes a wide range of symptoms involving the lumbosacral spine and pelvic girdle.

  • Characterized by duration or associated symptoms

  • Durati...

DIAGNOSIS

HISTORY

  • Onset of pain (sudden or gradual) (1)

  • Pain from spinal structures (musculature, ligaments, facet joints and disks) can refer to the thigh region but rarely below the knee. However, fa...

TREATMENT

The primary goal is to provide supportive care and allow return to functional activity. Patients should be aware of alarm symptoms to prompt a return visit. 

MEDICATION

First Line

  • Physical ther...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Regular exercise to manage weight and control symptoms  (4)[A]

  • Strongly encourage patients to remain active.

  • Educate patients regarding chronicity, recurrence, and ...

REFERENCES

1
Golob  AL, Wipf  JE. Low back pain. Med Clin North Am.  2014;98(3):405–428. [View Abstract on OvidMedline]
2
Delitto  ...

ADDITIONAL READING

Andronis  L, Kinghorn  P, Qiao  S, et al. Cost-effectiveness of non-invasive and non-pharmacological interventions for low back pain: a systematic literature re...

SEE ALSO

Algorithm: Low Back Pain, Acute 

CODES

ICD10

  • M54.5 Low back pain

  • G89.29 Other chronic pain

  • M53.3 Sacrococcygeal disorders, not elsewhere classified

  • M53.3 Sacrococcygeal disorders, not elsewhere classified

  • M54.40 Lumbago with sciatica, uns...

CLINICAL PEARLS

  • Most cases resolve spontaneously within 4 to 12 weeks of onset.

  • Assess for red flag symptoms, such as bowel/bladder incontinence, history of cancer, or recent trauma.

  • Labs and imaging st...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×