Acute low back pain is pain of <3 mo duration localized below the costal margin but above the inferior gluteal folds with or without leg pain.
Synonym(s): lumbar strain; lumbar spr...
Initial history should focus on the patient’s age and pain characteristics (onset, duration, severity, quality, radiation, aggravating factors, alleviating factors).
Question patient a...
Natural history of MBP, regardless of treatment: 33% resolve within 1 wk, 70% resolve within 1 mo, and 90–95% resolve within 3 mo.
Analgesia:
Acetaminophen for 2 wk (as effective as nonsteroid...
Begin walking as soon as possible.
Early osteopathic or chiropractic referral is often beneficial.
Early orthopedic or physical therapy referral is rarely indicated...
Acute low back pain is the most common musculoskeletal complaint seen by primary care providers associated with a significant morbidity, health care cost, and missed work.
In the absenc...
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