Παρασκευή, 18 Δεκεμβρίου 2009

Guidlines for Low Back Pain (Οσφυαλγία)

Recommendations from the guideline for health professionals include:

• Advise people with low back pain that staying physically active as much as possible is likely to help and provide people with advice and information to help them manage their low back pain

• Offer one of the following treatment options, taking into account the patient’s preference: an exercise programme, a course of manual therapy including manipulation, or a course of acupuncture (more details on each below). Consider offering another of these options if the chosen treatment does not result in satisfactory improvement

• Consider offering a structured exercise programme tailored to the individual that may include exercises to strengthen muscles, improve posture and stretching

• Consider offering a course of manual therapy, including spinal manipulation, spinal mobilisation and massage. Treatment may be provided by a range of health professionals including chiropractors, osteopaths, manipulative physiotherapists or doctors who have had specialist training

• Consider offering a course of acupuncture needling, up to a maximum of 10 sessions over a period of up to 12 weeks

• Injections of therapeutic substances into the back for non-specific low back pain are not recommended

• Offer a combined intensive exercise and psychological treatment programme for people who have had at least one less intensive treatment already, but who still have disabling pain which causes significant distress or seriously impacts on daily life

• Do not offer X-ray of the lumbar spine for the management of non-specific low back pain, and only offer an MRI scan within the context of a referral for an opinion on spinal fusion.