Prevention and management of chronic back pain

Weiner, Shira Schecter; Nordin, M.

doi:10.1016/j.berh.2009.12.001

Cited by 119Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

Prevention and management of chronic back pain

Weiner, Shira Schecter, Nordin, M.·2010·Best Practice & Research Clinical Rheumatology

DOI 10.1016/j.berh.2009.12.001

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Abstract

Low back pain is prevalent, and both debilitating for the patient and costly for society if it becomes a chronic condition. The initial prognosis at the onset of low back pain is positive, however the rate of recurrence is high and about 20% of patients seeking care develop a chronic problem that may or may not lead to disability. The main message, based on the best evidence, is that keeping active despite low back pain is "healthy". A large portion of patients seeking care can manage their short term and even longer term incapacity. However, for those who cannot manage their pain, significant relief can be found in a variety of conservative treatments. Passive treatment should be kept to a minimum as evidence shows that active treatments are more effective for improving function and return to work. There is evidence that identifying psychosocial symptoms and barriers, and referral to appropriate interventions improves outcomes. There are currently no clear indications for surgery in nonspecific low back pain.

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From Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study (2022) · cites this paper as [7]
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From Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study (2022) · cites this paper as [7]

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Authors: Weiner, S. S., & Nordin, M.
Affiliations: NYU Langone Health (US)
Corresponding author: Weiner, Shira Schecter
ORCID: Weiner, Shira Schecter
Nordin, M.
Venue: Best Practice & Research Clinical Rheumatology
Publisher: Elsevier BV
Published: 2010-04
Volume: 24
Issue: 2
Pages: 267-279
ISSN: 1521-6942 (ISSN-L)
DOI: 10.1016/j.berh.2009.12.001
OpenAlex: W1969943078
Cited by: 119
References: 127
Citations by year: 2026: 4 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 6 · 2019: 5 · 2018: 11 · 2017: 8 · 2016: 6 · 2015: 11 · 2014: 16 · 2013: 9 · 2012: 9
FWCI: 7.51
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Best Practice & Research Clinical Rheumatology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
Keywords: chronic low back pain, non-specific low back pain, prevention, conservative treatment, physical activity, disability, return to work, psychosocial factors, recurrence
MeSH terms: Combined Modality Therapy, Disability Evaluation, Exercise Therapy, Humans, Recurrence, Randomized Controlled Trials as Topic, Low Back Pain, Pain Clinics

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Prevention and management of chronic back pain

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