Cited by 2,398Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

The DOI matches its Crossref record; 129 of the 130 references it cites were found in a registry or an index.

Prevention and treatment of low back pain: evidence, challenges, and promising directions

Open access

Foster, Nadine E, Anema, Johannes R, Cherkin, Dan, Chou, Roger, Cohen, Steven P, Gross, Douglas P, Ferreira, Paulo H, Fritz, Julie M, Koes, Bart W, Peul, Wilco, Turner, Judith A, Maher, Chris G, Buchbinder, Rachelle, Hartvigsen, Jan, Cherkin, Dan, Foster, Nadine E, Maher, Chris G, Underwood, Martin, van Tulder, Maurits, Anema, Johannes R, Chou, Roger, Cohen, Stephen P, Menezes Costa, Lucíola, Croft, Peter, Ferreira, Manuela, Ferreira, Paulo H, Fritz, Julie M, Genevay, Stéphane, Gross, Douglas P, Hancock, Mark J, Hoy, Damian, Karppinen, Jaro, Koes, Bart W, Kongsted, Alice, Louw, Quinette, Öberg, Birgitta, Peul, Wilco C, Pransky, Glenn, Schoene, Mark, Sieper, Joachim, Smeets, Rob J, Turner, Judith A, Woolf, Anthony·2018·The Lancet

DOI 10.1016/s0140-6736(18)30489-6

Open this paper in CoChat — free account Open PDF

Abstract

Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial non-pharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. Guidelines recommend prudent use of medication, imaging, and surgery. The recommendations are based on trials almost exclusively from high-income countries, focused mainly on treatments rather than on prevention, with limited data for cost-effectiveness. However, globally, gaps between evidence and practice exist, with limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. Doing more of the same will not reduce back-related disability or its long-term consequences. The advances with the greatest potential are arguably those that align practice with the evidence, reduce the focus on spinal abnormalities, and ensure promotion of activity and function, including work participation. We have identified effective, promising, or emerging solutions that could offer new directions, but that need greater attention and further research to determine if they are appropriate for large-scale implementation. These potential solutions include focused strategies to implement best practice, the redesign of clinical pathways, integrated health and occupational interventions to reduce work disability, changes in compensation and disability claims policies, and public health and prevention strategies.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(18)30489-6

Cites

129 of 129 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
Dowell, D., Haegerich, T. M., & Chou, R. (2016) · JAMA · doi:10.1001/jama.2016.1464 · Cited by 5,161
Self-citation
What low back pain is and why we need to pay attention
Hartvigsen, J., Hancock, M. J., Kongsted, A., Louw, Q., Ferreira, M. L., Genevay, S., Hoy, D., Karppinen, J., Pransky, G., Sieper, J., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(18)30480-x · Cited by 4,652
Self-citation
Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians
Qaseem, A., Wilt, T. J., McLean, R. M., Forciea, M. A., & for the Clinical Guidelines Committee of the American College of Physicians* (2017) · Annals of Internal Medicine · doi:10.7326/m16-2367 · Cited by 3,234
Trends, Major Medical Complications, and Charges Associated With Surgery for Lumbar Spinal Stenosis in Older Adults
Deyo, R. A. (2010) · JAMA · doi:10.1001/jama.2010.338 · Cited by 1,521
The Rising Prevalence of Chronic Low Back Pain
Freburger, J. K., Holmes, G. M., Agans, R. P., Jackman, A. M., Darter, J. D., Wallace, A. S., Castel, L. D., Kalsbeek, W. D., & Carey, T. S. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2008.543 · Cited by 1,507
Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial
Hill, J. C., Whitehurst, D. G., Lewis, M., Bryan, S., Dunn, K. M., Foster, N. E., Konstantinou, K., Main, C. J., Mason, E., Somerville, S., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60937-9 · Cited by 1,306
Self-citation
Vital signs: changes in opioid prescribing in the United States, 2006-2015.
Guy, G. P., Zhang, K., Bohm, M. K., Losby, J., Lewis, B., Young, R., Murphy, L. B., & Dowell, D. (2017) · MMWR. Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6626a4 · Cited by 1,117
A primary care back pain screening tool: identifying patient subgroups for initial treatment
Hill, J. C., Dunn, K. M., Lewis, M., Mullis, R., Main, C. J., Foster, N. E., & Hay, E. M. (2008) · Arthritis Care & Research · doi:10.1002/art.23563 · Cited by 1,052
Self-citation
Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes
Baker, R., Camosso-Stefinovic, J., Gillies, C., Shaw, E. J., Cheater, F., Flottorp, S., & Robertson, N. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005470.pub2 · Cited by 1,003
Barriers and Strategies in Guideline Implementation—A Scoping Review
Fischer, F., Lange, K., Klose, K., Greiner, W., & Kraemer, A. (2016) · Healthcare · doi:10.3390/healthcare4030036 · Cited by 960

Show all 130 references

Research works printed but not linked: 2

Fialho, 2011, Musculoskeletal system assessment in an emergency room, Rev Bras Reumatol, 51, 240
Fuhrmans, 2007, Withdrawal treatment: a novel plan helps hospital wean itself off pricey tests, The Wall Street Journal (New York)

Sorted by citations

Items 201–300 of 1,001

Mechanisms of education and graded sensorimotor retraining in people with chronic low back pain: a mediation analysis
Cashin, A. G., Lee, H., Wand, B. M., Bagg, M. K., O’Hagan, E. T., Rizzo, R. R. N., Stanton, T. R., Moseley, G. L., & McAuley, J. H. (2023) · Pain · doi:10.1097/j.pain.0000000000002978 · Cited by 41
Empowered Relief, cognitive behavioral therapy, and health education for people with chronic pain: a comparison of outcomes at 6-month Follow-up for a randomized controlled trial
Darnall, B. D., Burns, J. W., Hong, J. S., Roy, A., Slater, K., Poupore‐King, H., Ziadni, M. S., You, D. S., Jung, C., Cook, K. F., et al. (2024) · PAIN Reports · doi:10.1097/pr9.0000000000001116 · Cited by 43
Spinal manipulative therapy and exercise for older adults with chronic low back pain: a randomized clinical trial
Schulz, C. A., Evans, R., Maiers, M., Schulz, K. M., Leininger, B. D., & Brønfort, G. (2019) · Chiropractic & Manual Therapies · doi:10.1186/s12998-019-0243-1 · Cited by 46
GLA:D® Back: group-based patient education integrated with exercises to support self-management of persistent back pain — feasibility of implementing standardised care by a course for clinicians
Kongsted, A., Hartvigsen, J., Boyle, E., Ris, I., Kjær, P., Thomassen, L., & Vach, W. (2019) · Pilot and Feasibility Studies · doi:10.1186/s40814-019-0448-z · Cited by 41
Self-citation
Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol
Galán-Martín, M. Á., Montero-Cuadrado, F., Lluch‐Girbés, E., Coca-López, M. C., Mayo-Íscar, A., & Vargas, A. I. C. (2019) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-019-2889-1 · Cited by 45
Temporal summation of mechanical pain prospectively predicts movement-evoked pain severity in adults with chronic low back pain
Overstreet, D. S., Michl, A. N., Penn, T. M., Rumble, D., Aroke, E. N., Sims, A., King, A. L., Hasan, F. N., Quinn, T. L., Long, D. L., et al. (2021) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-021-04306-5 · Cited by 44
Consolidating and re‐evaluating the human disc nutrient microenvironment
McDonnell, E. E., & Buckley, C. T. (2022) · JOR Spine · doi:10.1002/jsp2.1192 · Cited by 40
Disability Among Persons With Chronic Severe Back Pain: Results From a Nationally Representative Population-based Sample
Feldman, D. E., & Nahin, R. L. (2022) · Journal of Pain · doi:10.1016/j.jpain.2022.07.016 · Cited by 47
System strengthening to support value-based care and healthy ageing for people with chronic pain
Briggs, A. M., Slater, H., Hsieh, E., Kopansky-Giles, D. R., Åkesson, K., Dreinhöfer, K., MARCH, L. M., & Woolf, A. D. (2019) · Pain · doi:10.1097/j.pain.0000000000001526 · Cited by 40
Self-citation
Eight in Every 10 Abstracts of Low Back Pain Systematic Reviews Presented Spin and Inconsistencies With the Full Text: An Analysis of 66 Systematic Reviews
Nascimento, D. P., Gonzalez, G. Z., Araújo, A. C., Moseley, A. M., Maher, C. G., & Costa, L. O. P. (2019) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2020.8962 · Cited by 43
Self-citation
The therapeutic effect of TBK1 in intervertebral disc degeneration via coordinating selective autophagy and autophagic functions
Hu, S., Chen, L., Mamun, A. A., Ni, L., Gao, W., Lin, Y., Jin, H., Zhang, X., & Wang, X. (2020) · Journal of Advanced Research · doi:10.1016/j.jare.2020.08.011 · Cited by 41
The effect on clinical outcomes when targeting spinal manipulation at stiffness or pain sensitivity: a randomized trial
Nim, C. G., Kawchuk, G. N., Schiøttz‐Christensen, B., & O’Neill, S. F. D. (2020) · Scientific Reports · doi:10.1038/s41598-020-71557-y · Cited by 40
Pivoting to virtual delivery for managing chronic pain with nonpharmacological treatments: implications for pragmatic research
Fritz, J. M., Davis, A. F., Burgess, D. J., Coleman, B. C., Cook, C. E., Farrokhi, S., Goertz, C., Heapy, A. A., Lisi, A. J., McGeary, D. D., et al. (2020) · Pain · doi:10.1097/j.pain.0000000000002139 · Cited by 40
Self-citation
Systematic review of guideline-recommended medications prescribed for treatment of low back pain
Price, M. R., Cupler, Z. A., Hawk, C., Bednarz, E. M., Walters, S., & Daniels, C. J. (2022) · Chiropractic & Manual Therapies · doi:10.1186/s12998-022-00435-3 · Cited by 44
The Lancet series on low back pain: reflections and clinical implications
O’Sullivan, K., O’Sullivan, P., & O’Keeffe, M. (2018) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-099671 · Cited by 40
Five-Year Longitudinal Follow-Up of Restorative Neurostimulation Shows Durability of Effectiveness in Patients With Refractory Chronic Low Back Pain Associated With Multifidus Muscle Dysfunction
Gilligan, C. J., Volschenk, W., Russo, M. A., Green, M., Gilmore, C. A., Mehta, V., Deckers, K., Smedt, K. D., Latif, U., Sayed, D., et al. (2024) · Neuromodulation Technology at the Neural Interface · doi:10.1016/j.neurom.2024.01.006 · Cited by 43
Physiotherapeutic and non-conventional approaches in patients with chronic low-back pain: a level I Bayesian network meta-analysis
Baroncini, A., Maffulli, N., Schäfer, L., Manocchio, N., Bossa, M., Foti, C., Klimuch, A., & Migliorini, F. (2024) · Scientific Reports · doi:10.1038/s41598-024-62276-9 · Cited by 47
Rejuvenation Modulation of Nucleus Pulposus Progenitor Cells Reverses Senescence‐Associated Intervertebral Disc Degeneration
Zhao, D., Jing, Z., Chen, C., Sun, W., Liu, Y., Han, M., Zhang, Y., Fu, Z., Shi, C., Zhao, X., et al. (2024) · Advanced Materials · doi:10.1002/adma.202409979 · Cited by 40
The association between insomnia, c-reactive protein, and chronic low back pain: cross-sectional analysis of the HUNT study, Norway
Ho, K. K., Simić, M., Småstuen, M. C., Pinheiro, M. B., Ferreira, P. H., Johnsen, M. B., Heuch, I., Grotle, M., Zwart, J., & Nilsen, K. B. (2019) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2019-0033 · Cited by 40
Self-citation
Musculoskeletal healthcare: Have we over‐egged the pudding?
Maher, C. G., O’Keeffe, M., Buchbinder, R., & Harris, I. A. (2019) · International Journal of Rheumatic Diseases · doi:10.1111/1756-185x.13710 · Cited by 39
Self-citation
Effect of Radial Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Efficiency, and Postural Control Parameters in Patients with Chronic Low Back Pain: A Randomized Clinical Trial
Walewicz, K., Taradaj, J., Dobrzyński, M., Sopel, M., Kowal, M., Ptaszkowski, K., & Dymarek, R. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9020568 · Cited by 39
Physical Therapy Referral From Primary Care for Acute Back Pain With Sciatica
Fritz, J. M., Lane, E., McFadden, M., Brennan, G. P., Magel, J. S., Thackeray, A., Minick, K. I., Meier, W., & Greene, T. (2020) · Annals of Internal Medicine · doi:10.7326/m20-4187 · Cited by 43
Self-citation
Proprioceptive neuromuscular facilitation training reduces pain and disability in individuals with chronic low back pain: A systematic review and meta-analysis
Arcanjo, F. L., Martins, J. V., Barboza, P. J. M., Leporace, G., de Oliveira, D. A., de Sousa, C. S., Saquetto, M. B., & Neto, M. G. (2021) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2021.101505 · Cited by 39
Logistics Work, Ergonomics and Social Sustainability: Empirical Musculoskeletal System Strain Assessment in Retail Intralogistics
Loske, D., Klumpp, M., Keil, M., & Neukirchen, T. (2021) · Logistics · doi:10.3390/logistics5040089 · Cited by 47
A hot topic for health: Results of the Global Sauna Survey
Hussain, J. N., Greaves, R. F., & Cohen, M. M. (2019) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2019.03.012 · Cited by 42
Can Yoga or Physical Therapy for Chronic Low Back Pain Improve Depression and Anxiety Among Adults From a Racially Diverse, Low-Income Community? A Secondary Analysis of a Randomized Controlled Trial
Joyce, C. T., Roseen, E. J., Keysor, J. J., Gross, K. D., Culpepper, L., & Saper, R. B. (2021) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2021.01.072 · Cited by 41
Effects of Exercise-Induced Hypoalgesia at Different Aerobic Exercise Intensities in Healthy Young Adults
Niwa, Y., Shimo, K., Ohga, S., Tokiwa, Y., Hattori, T., & Matsubara, T. (2022) · Journal of Pain Research · doi:10.2147/jpr.s384306 · Cited by 38
A Manifesto in Defense of Pain Complexity: A Critical Review of Essential Insights in Pain Neuroscience
Picañol, J., & Castellanos, A. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12227080 · Cited by 39
Managing low back pain in active adolescents
O’Sullivan, K., O’Keeffe, M., Forster, B. B., Qamar, S. R., van der Westhuizen, A., & O’Sullivan, P. (2019) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2019.02.005 · Cited by 38
Systematic Review of Decision Analytic Modelling in Economic Evaluations of Low Back Pain and Sciatica
Hall, J. A., Konstantinou, K., Lewis, M., Oppong, R., Ogollah, R. O., & Jowett, S. M. (2019) · Applied Health Economics and Health Policy · doi:10.1007/s40258-019-00471-w · Cited by 38
Depression, antidepressants and the risk of cardiovascular events and death in older men
Almeida, O. P., Ford, A. H., Hankey, G. J., Golledge, J., Yeap, B. B., & Flicker, L. A. (2019) · Maturitas · doi:10.1016/j.maturitas.2019.06.009 · Cited by 40
The Feasibility and Effectiveness of a New Practical Multidisciplinary Treatment for Low-Back Pain: A Randomized Controlled Trial
Wippert, P., Drießlein, D., Beck, H., Schneider, C., Puschmann, A.-K., Banzer, W. B., & Schiltenwolf, M. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm9010115 · Cited by 38
Durability of the Therapeutic Effect of Restorative Neurostimulation for Refractory Chronic Low Back Pain
Mitchell, B., Deckers, K., Smedt, K. D., Russo, M. A., Georgius, P., Green, M., Gulve, A., Buyten, J. V., Smet, I., Mehta, V., et al. (2021) · Neuromodulation Technology at the Neural Interface · doi:10.1111/ner.13477 · Cited by 40
Is occupational or leisure physical activity associated with low back pain? Insights from a cross-sectional study of 1059 participants
Amorim, A. B., Simić, M., Pappas, E., Zadro, J. R., Carrillo, E., Ordoñana, J. R., & Ferreira, P. H. (2018) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2018.06.004 · Cited by 38
Self-citation
Evidence of stabilizing exercises for low back- and pelvic girdle pain – a critical review
Stuge, B. (2018) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2018.11.006 · Cited by 46
RESTORE—Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain: study protocol for a randomised controlled trial
Kent, P. M., O’Sullivan, P., Smith, A. J., Haines, T. P., Campbell, A., McGregor, A. H., Hartvigsen, J., O’Sullivan, K., Vickery, A. W., Cañeiro, J. P., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-031133 · Cited by 39
Self-citation
Exploring Patients’ Experiences of Internet-Based Self-Management Support for Low Back Pain in Primary Care
Geraghty, A. W. A., Roberts, L. C., Stanford, R., Hill, J. C., Yoganantham, D., Little, P. S., Foster, N. E., Hay, E. M., & Yardley, L. (2019) · Pain Medicine · doi:10.1093/pm/pnz312 · Cited by 39
Self-citation
What do the general public believe about the causes, prognosis and best management strategies for low back pain? A cross-sectional study
Hall, A. M., Coombs, D., Richmond, H., Bursey, K., Furlong, B., Lawrence, R., & Kamper, S. J. (2021) · BMC Public Health · doi:10.1186/s12889-021-10664-5 · Cited by 37
What Are the Mechanisms of Action of Cognitive–Behavioral, Mind–Body, and Exercise-based Interventions for Pain and Disability in People With Chronic Primary Musculoskeletal Pain?
Alaiti, R. K., Castro, J., Lee, H., Cañeiro, J. P., Vlaeyen, J. W. S., Kamper, S. J., & Costa, M. F. (2022) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000001047 · Cited by 41
Psychological Treatment for Chronic Pain: Improving Access and Integration
Darnall, B. D. (2021) · Gothic.net · doi:10.1177/15291006211033612 · Cited by 39
Is Your Career Hurting You? The Ergonomic Consequences of Surgery in 701 Urologists Worldwide
Lloyd, G. L., Chung, A. S. J., Steinberg, S., Sawyer, M. D., Williams, D. H., & Overbey, D. M. (2019) · Journal of Endourology · doi:10.1089/end.2019.0150 · Cited by 36
The Fear Reduction Exercised Early (FREE) approach to management of low back pain in general practice: A pragmatic cluster-randomised controlled trial
Darlow, B. J. S., Stanley, J., Dean, S. G., Abbott, J. H., Garrett, S., Wilson, R., Mathieson, F. M., & Dowell, A. C. (2019) · PLoS Medicine · doi:10.1371/journal.pmed.1002897 · Cited by 36
State of clinical pain research in Nepal: a systematic scoping review
Sharma, S., Jensen, M. P., Pathak, A., Sharma, S., Pokharel, M., & Abbott, J. H. (2019) · PAIN Reports · doi:10.1097/pr9.0000000000000788 · Cited by 36
Network Pharmacology and Experimental Validation to Reveal the Pharmacological Mechanisms of Liuwei Dihuang Decoction Against Intervertebral Disc Degeneration
Zhang, H., Yao, S., Zhang, Z., Zhou, C., Fu, F., Bian, Y., Luo, H., Li, Y., Yan, S., Ge, Y., et al. (2021) · Drug Design Development and Therapy · doi:10.2147/dddt.s338439 · Cited by 36
Comparison of the effects of the Feldenkrais method versus core stability exercise in the management of chronic low back pain: A randomised control trial
Ahmadi, H., Adib, H., Selk-Ghaffari, M., Shafizad, M., Moradi, S., Madani, Z., Partovi, G., & Mahmoodi, A. (2020) · Clinical Rehabilitation · doi:10.1177/0269215520947069 · Cited by 36
Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain
Gevers‐Montoro, C., Provencher, B., Descarreaux, M., Ortega, A., & Piché, M. (2021) · Frontiers in Pain Research · doi:10.3389/fpain.2021.765921 · Cited by 39
Physiotherapy and ecosystem services: improving the health of our patients, the population, and the environment
Stanhope, J., Marić, F., Rothmore, P., & Weinstein, P. (2021) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2021.2015814 · Cited by 40
One size does not fit all: Participants’ experiences of the selfBACK app to support self-management of low back pain—a qualitative interview study
Svendsen, M. J., Nicholl, B. I., Mair, F. S., Wood, K., Rasmussen, C. D. N., & Stochkendahl, M. J. (2022) · Chiropractic & Manual Therapies · doi:10.1186/s12998-022-00452-2 · Cited by 34
Non-pharmacological and non-surgical treatments for low back pain in adults: an overview of Cochrane reviews
Rizzo, R. R. N., Cashin, A. G., Wand, B. M., Ferraro, M. C., Sharma, S., Lee, H., O’Hagan, E. T., Maher, C. G., Furlan, A. D., van Tulder, M. W., et al. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd014691.pub2 · Cited by 54
Self-citation
Changing the Narrative in Diagnosis and Management of Pain in the Sacroiliac Joint Area
Palsson, T. S., Gibson, W., Darlow, B. J. S., Bunzli, S., Lehman, G. J., Rabey, M. I., Moloney, N. A., Vægter, H. B., Bagg, M. K., & Travers, M. J. (2019) · Physical Therapy · doi:10.1093/ptj/pzz108 · Cited by 37
Transcultural adaption and preliminary evaluation of “understanding low back pain” patient education booklet
Simula, A., Jenkins, H., Holopainen, R., Oura, P., Korniloff, K., Häkkinen, A., Takala, E., Hancock, M., & Karppinen, J. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4854-y · Cited by 21
Self-citation
Pain management in people with severe mental illness: an agenda for progress
Onwumere, J., Stubbs, B., Stirling, M., Shiers, D., Gaughran, F., Rice, A. S. C., C de C Williams, A., & Scott, W. (2022) · Pain · doi:10.1097/j.pain.0000000000002633 · Cited by 35
Targeting Autophagy for Developing New Therapeutic Strategy in Intervertebral Disc Degeneration
Bahar, M. E., Hwang, J. S., Ahmed, M., Lai, T. H., Pham, T. M., Elashkar, O., Akter, K.-M., Kim, D., Yang, J., & Kim, D. R. (2022) · Antioxidants · doi:10.3390/antiox11081571 · Cited by 34
Multisite joint pain in older Australian women is associated with poorer psychosocial health and greater medication use
de Luca, K. E., Wong, A. Y. L., Eklund, A., Fernandez, M., Byles, J., Parkinson, L., Ferreira, M. L., & Hartvigsen, J. (2019) · Chiropractic & Manual Therapies · doi:10.1186/s12998-018-0224-9 · Cited by 34
Self-citation
Effectiveness of percutaneous electrical nerve stimulation for musculoskeletal pain: A systematic review and meta‐analysis
Plaza‐Manzano, G., Gómez-Chiguano, G. F., Cleland, J. A., Arias‐Buría, J. L., Fernández‐de‐las‐Peñas, C., & Navarro‐Santana, M. J. (2020) · European Journal of Pain · doi:10.1002/ejp.1559 · Cited by 34
Usability and Acceptability of an App (SELFBACK) to Support Self-Management of Low Back Pain: Mixed Methods Study
Nordstoga, A. L., Bach, K., Sani, S., Wiratunga, N., Mork, P. J., Villumsen, M., & Cooper, K. (2020) · JMIR Rehabilitation and Assistive Technologies · doi:10.2196/18729 · Cited by 30
Effectiveness of a Group-Based Progressive Strength Training in Primary Care to Improve the Recurrence of Low Back Pain Exacerbations and Function: A Randomised Trial
Calatayud, J., Guzmán-González, B., Andersen, L. L., Cruz‐Montecinos, C., Morell, M. T., Roldán, R., Ezzatvar, Y., & Casaña, J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17228326 · Cited by 34
Potential Role for Stem Cell Regenerative Therapy as a Treatment for Degenerative Disc Disease and Low Back Pain: A Systematic Review
Soufi, K. H., Castillo, J. A., Rogdriguez, F. Y., DeMesa, C. J., & Ebinu, J. O. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24108893 · Cited by 34
Estimating mortality and disability in Peru before the COVID-19 pandemic: a systematic analysis from the Global Burden of the Disease Study 2019
Ríos-Blancas, M. J., Pando‐Robles, V., Razo, C., Cárcamo, C., Mendoza, W., Pacheco‐Barrios, K., Miranda, J. J., Lansingh, V. C., Demie, T. G., Saha, M., et al. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1189861 · Cited by 34
Acupuncture as an alternative or in addition to conventional treatment for chronic non-specific low back pain: A systematic review and meta-analysis
Giovanardi, C. M., González‐Lorenzo, M., Poini, A., Marchi, E., Culcasi, A., Ursini, F., Faldini, C., Martino, A. C. D., Mazzanti, U., Campesato, M., et al. (2023) · Integrative Medicine Research · doi:10.1016/j.imr.2023.100972 · Cited by 39
Analgesic effects of non-surgical and non-interventional treatments for low back pain: a systematic review and meta-analysis of placebo-controlled randomised trials
Cashin, A. G., Furlong, B., Kamper, S. J., Carvalho, D. E. D., Machado, L. A. C., Davidson, S. R. E., Bursey, K., Shaheed, C. A., & Hall, A. M. (2025) · BMJ Evidence-Based Medicine · doi:10.1136/bmjebm-2024-112974 · Cited by 43
Cupping for Patients With Chronic Pain: A Systematic Review and Meta-Analysis
Cramer, H., Klose, P., Teut, M., Rotter, G., Ortiz, M., Anheyer, D., Linde, K., & Brinkhaus, B. (2020) · Journal of Pain · doi:10.1016/j.jpain.2020.01.002 · Cited by 34
Effects of Nutritional Interventions in the Control of Musculoskeletal Pain: An Integrative Review
Mendonça, C. R., Noll, M. A., Castro, M. C. R., & Silveira, É. A. (2020) · Nutrients · doi:10.3390/nu12103075 · Cited by 33
Identification of DNA methylation associated enrichment pathways in adults with non-specific chronic low back pain
Aroke, E. N., Overstreet, D. S., Penn, T. M., Crossman, D. K., Jackson, P., Tollefsbol, T. O., Quinn, T. L., Yi, N., & Goodin, B. R. (2020) · Molecular Pain · doi:10.1177/1744806920972889 · Cited by 33
Epidemiology of chronic back pain among adults and elderly from Southern Brazil: a cross-sectional study
Saes-Silva, E., Vieira, Y. P., Saes, M. D. O., Meucci, R. D., Aikawa, P., Cousin, E., da Silva, L. M. A., & Dumith, S. C. (2020) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2020.12.005 · Cited by 35
Accelerated brain aging in chronic low back pain
Yu, G. Z., Ly, M. J., Karim, H. T., Muppidi, N., Aizenstein, H. J., & Ibinson, J. W. (2021) · Brain Research · doi:10.1016/j.brainres.2020.147263 · Cited by 33
In-Clinic Versus Web-Based Multidisciplinary Exercise-Based Rehabilitation for Treatment of Low Back Pain: Prospective Clinical Trial in an Integrated Practice Unit Model
Raiszadeh, K., Tapicer, J., Taitano, L., Wu, J. T., & Shahidi, B. (2021) · Journal of Medical Internet Research · doi:10.2196/22548 · Cited by 33
Self-Guided Web-Based Pain Education for People With Musculoskeletal Pain: A Systematic Review and Meta-Analysis
Lima, L. D. O., Saragiotto, B. T., Costa, L. O. P., Nogueira, L. A. C., Meziat‐Filho, N., & dos Reis, F. J. J. (2021) · Physical Therapy · doi:10.1093/ptj/pzab167 · Cited by 37
Experiences, barriers and needs of physiotherapists with regard to providing self-management support to people with low back pain: A qualitative study
van den Heuvel, C., van der Horst, J., Winkelhorst, E., Roelofsen, E. G. J., & Hutting, N. (2021) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2021.102462 · Cited by 39
Effectiveness of Acupuncture for Nonspecific Chronic Low Back Pain: A Systematic Review and Meta-Analysis
Asano, H., Plonka, D., & Weeger, J. (2022) · Medical Acupuncture · doi:10.1089/acu.2021.0057 · Cited by 38
Importance of Matrix Cues on Intervertebral Disc Development, Degeneration, and Regeneration
Kibble, M. J., Domingos, M. A. N., Hoyland, J. A., & Richardson, S. M. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23136915 · Cited by 34
Changes in the Organization of the Secondary Somatosensory Cortex While Processing Lumbar Proprioception and the Relationship With Sensorimotor Control in Low Back Pain
Goossens, N., Janssens, L., & Brumagne, S. (2019) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000692 · Cited by 32
Healthcare utilization and costs for spinal conditions in Ontario, Canada - opportunities for funding high-value care: a retrospective cohort study
Rampersaud, Y. R., Power, J. D., Perruccio, A. V., Paterson, J. M., Veillette, C., Coyte, P. C., Badley, E. M., & Mahomed, N. N. (2020) · The Spine Journal · doi:10.1016/j.spinee.2020.01.013 · Cited by 32
Should musicians play in pain?
Stanhope, J., & Weinstein, P. (2020) · British Journal of Pain · doi:10.1177/2049463720911399 · Cited by 33
Clinical pathways for the management of low back pain from primary to specialised care: a systematic review
Murphy, C., French, H., McCarthy, G., & Cunningham, C. (2022) · European Spine Journal · doi:10.1007/s00586-022-07180-4 · Cited by 32
The effects of exposure to microgravity and reconditioning of the lumbar multifidus and anterolateral abdominal muscles: implications for people with LBP
Hides, J. A., Lambrecht, G., Sexton, C. T., Pruett, C. J., Petersen, N., Jaekel, P., Rosenberger, A., & Weerts, G. (2020) · The Spine Journal · doi:10.1016/j.spinee.2020.09.006 · Cited by 31
Balancing biological and biomechanical performance in intervertebral disc repair: a systematic review of injectable cell delivery biomaterials
Panebianco, C. J., Meyers, J., Gansau, J., Hom, W. W., & Iatridis, J. C. (2020) · European Cells and Materials · doi:10.22203/ecm.v040a15 · Cited by 31
3D printing of annulus fibrosus anatomical equivalents recapitulating angle-ply architecture for intervertebral disc replacement
Bhunia, B. K., Dey, S., Bandyopadhyay, A., & Mandal, B. B. (2021) · Applied Materials Today · doi:10.1016/j.apmt.2021.101031 · Cited by 31
Central Sensitization in Chronic Low Back Pain: A Population-Based Study of a Japanese Mountain Village
Akeda, K., Takegami, N., Yamada, J., Fujiwara, T., Nishimura, A., & Sudo, A. (2021) · Journal of Pain Research · doi:10.2147/jpr.s301924 · Cited by 36
Combined Effect of Vitamin D Supplementation and Physiotherapy on Reducing Pain Among Adult Patients With Musculoskeletal Disorders: A Quasi-Experimental Clinical Trial
Ali, M., Uddin, Z., & Hossain, A. (2021) · Frontiers in Nutrition · doi:10.3389/fnut.2021.717473 · Cited by 31
Peripheral Nerve Stimulation for Low Back Pain: A Systematic Review
D'Souza, R. S., Jin, M. Y., & Abd-Elsayed, A. A. (2023) · Current Pain and Headache Reports · doi:10.1007/s11916-023-01109-2 · Cited by 30
A systematic review highlights the need to improve the quality and applicability of trials of physical therapy interventions for low back pain
Cashin, A. G., Lee, H., Bagg, M. K., O’Hagan, E. T., Traeger, A. C., Kamper, S. J., Folly, T., Jones, M. D., Booth, J., & McAuley, J. H. (2020) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2020.06.025 · Cited by 34
Can Acupuncture Improve Chronic Spinal Pain? A Systematic Review and Meta-Analysis
Huang, J.-F., Zheng, X.-Q., Chen, D., Lin, J., Zhou, W.-X., Wang, H., Qin, Z., & Wu, A. (2020) · Global Spine Journal · doi:10.1177/2192568220962440 · Cited by 31
Effects of Physical Exercise on Low Back Pain and Cortisol Levels: A Systematic Review with Meta-Analysis of Randomized Controlled Trials
dos Santos, A. O. B., de Castro, J. B. P., Lima, V. P., da Silva, E. B., & Vale, R. G. D. S. (2020) · Pain Management · doi:10.2217/pmt-2020-0020 · Cited by 30
Which Exercise for Low Back Pain? (WELBack) trial predicting response to exercise treatments for patients with low back pain: a validation randomised controlled trial protocol
Macedo, L. G., Hodges, P. W., Bostick, G. P., Hancock, M. J., Laberge, M., Hanna, S., Spadoni, G., Gross, A., & Schneider, J. A. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-042792 · Cited by 32
Self-citation
Lumbar spondylolisthesis: STATE of the art on assessment and conservative treatment
Vanti, C., Ferrari, S., Guccione, A. A., & Pillastrini, P. (2021) · Archives of Physiotherapy · doi:10.1186/s40945-021-00113-2 · Cited by 32
Producing Clinically Meaningful Reductions in Disability: A Causal Mediation Analysis of a Patient Education Intervention
Cashin, A. G., Lee, H., Traeger, A. C., Moseley, G. L., Hübscher, M., Kamper, S. J., Skinner, I., & McAuley, J. H. (2021) · Journal of Pain · doi:10.1016/j.jpain.2021.07.007 · Cited by 30
A vision for the future of wearable sensors in spine care and its challenges: narrative review
Hodges, P. W., & van den Hoorn, W. (2021) · Journal of Spine Surgery · doi:10.21037/jss-21-112 · Cited by 33
Management of chronic low back pain and the impact on patients’ personal and professional lives: Results from an international patient survey
Fullen, B. M., Morlion, B. J., Linton, S. J., Roomes, D., van Griensven, J., Abraham, L., Beck, C., Wilhelm, S., Constantinescu, C., & Perrot, S. (2022) · Pain Practice · doi:10.1111/papr.13103 · Cited by 30
Abstracts of Low Back Pain Trials Are Poorly Reported, Contain Spin of Information, and Are Inconsistent With the Full Text: An Overview Study
Nascimento, D. P., Costa, L. O. P., Gonzalez, G. Z., Maher, C. G., & Moseley, A. M. (2019) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2019.03.024 · Cited by 31
Self-citation
Clinical course of pain and disability following primary lumbar discectomy: systematic review and meta-analysis
Rushton, A., Heneghan, N. R., Heymans, M. W., Staal, J. B., & Goodwin, P. C. (2020) · European Spine Journal · doi:10.1007/s00586-019-06272-y · Cited by 32
A systematic review of the effectiveness of yoga on pain, physical function, and quality of life in older adults with chronic musculoskeletal conditions
Denham‐Jones, L., Gaskell, L., Spence, N., & Pigott, T. (2021) · Musculoskeletal Care · doi:10.1002/msc.1576 · Cited by 29
Comparison of In Vivo Intradiscal Pressure between Sitting and Standing in Human Lumbar Spine: A Systematic Review and Meta-Analysis
Li, J., Kwong, W.-H., Chan, Y.-L., & 川端, 雅. (2022) · Life · doi:10.3390/life12030457 · Cited by 29
Outcomes of Telehealth Physical Therapy Provided Using Real-Time, Videoconferencing for Patients With Chronic Low Back Pain: A Longitudinal Observational Study
Fritz, J. M., Minick, K. I., Brennan, G. P., McGee, T., Lane, E., Skolasky, R. L., Thackeray, A., Bardsley, T. R., Wegener, S. T., & Hunter, S. J. (2022) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2022.04.016 · Cited by 28
Self-citation
The Effect of Virtual Reality Training on Anticipatory Postural Adjustments in Patients with Chronic Nonspecific Low Back Pain: A Preliminary Study
Li, Z., Yu, Q., Luo, H., Liang, W., Li, X., Ge, L., Zhang, S., Li, L., & Wang, C. (2021) · Neural Plasticity · doi:10.1155/2021/9975862 · Cited by 26
The Effect of M-Health-Based Core Stability Exercise Combined with Self-Compassion Training for Patients with Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study
Zheng, F., Zheng, Y., Liu, S., Yang, J., Xiao, W., Xiao, W., Chen, L., Yang, W., Zhang, S., Yu, Q., et al. (2022) · Pain and Therapy · doi:10.1007/s40122-022-00358-0 · Cited by 27
In-Home Virtual Reality Program for Chronic Lower Back Pain: A Randomized Sham-Controlled Effectiveness Trial in a Clinically Severe and Diverse Sample
Maddox, T., Oldstone, L., Sparks, C. Y., Sackman, J., Oyao, A., García, L. M., Maddox, R., Ffrench, K., Garcia, H., Adair, T., et al. (2023) · Mayo Clinic Proceedings Digital Health · doi:10.1016/j.mcpdig.2023.09.003 · Cited by 28
The World Health Organization guideline for non-surgical management of chronic primary low back pain in adults: implications for equitable care and strengthening health systems globally
Briggs, A. M., Sumi, Y., & Banerjee, A. (2025) · Global Health Research and Policy · doi:10.1186/s41256-025-00426-w · Cited by 28
Tapentadol: an effective option for the treatment of back pain
Coluzzi, F., Polati, E., Freo, U., & Grilli, M. (2019) · Journal of Pain Research · doi:10.2147/jpr.s190176 · Cited by 28
An Electronic Clinical Decision Support System for the Management of Low Back Pain in Community Pharmacy: Development and Mixed Methods Feasibility Study
Downie, A., Hancock, M. J., Shaheed, C. A., McLachlan, A. J., Kocaballi, A. B., Williams, C. M., Michaleff, Z. A., & Maher, C. G. (2020) · JMIR Medical Informatics · doi:10.2196/17203 · Cited by 27
Self-citation

Authors: Foster, N. E., Anema, J. R., Cherkin, D., Chou, R., Cohen, S. P., Gross, D. P., Ferreira, P. H., Fritz, J. M., Koes, B. W., Peul, W., Turner, J. A., Maher, C. G., Buchbinder, R., Hartvigsen, J., Cherkin, D., Foster, N. E., Maher, C. G., Underwood, M., van Tulder, M., Anema, J. R., Chou, R., Cohen, S. P., Menezes Costa, L., Croft, P., Ferreira, M., Ferreira, P. H., Fritz, J. M., Genevay, S., Gross, D. P., Hancock, M. J., Hoy, D., Karppinen, J., Koes, B. W., Kongsted, A., Louw, Q., Öberg, B., Peul, W. C., Pransky, G., Schoene, M., Sieper, J., Smeets, R. J., Turner, J. A., & Woolf, A.
Affiliations: Johns Hopkins University (US)
Arthritis Research UK (GB)
The University of Sydney (AU)
ORCID: Cohen, Steven P
Buchbinder, Rachelle
Hartvigsen, Jan
Underwood, Martin
Croft, Peter
Ferreira, Manuela
Genevay, Stéphane
Hancock, Mark J
Karppinen, Jaro
Kongsted, Alice
Louw, Quinette
Öberg, Birgitta
Pransky, Glenn
Schoene, Mark
Sieper, Joachim
Smeets, Rob J
Woolf, Anthony
Venue: The Lancet
Publisher: Elsevier BV
Published: 2018-06
Volume: 391
Issue: 10137
Pages: 2368-2383
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(18)30489-6
OpenAlex: W2791379829
Cited by: 2,398
References: 130
Citations by year: 2026: 257 · 2025: 287 · 2024: 348 · 2023: 312 · 2022: 304 · 2021: 345 · 2020: 274 · 2019: 182 · 2018: 80
FWCI: 25.66
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
Archive ouverte UNIGE (University of Geneva) (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Leiden Repository (Leiden University) (submittedVersion)
Research Publications (Maastricht University) (submittedVersion, other-oa)
Pure Amsterdam UMC (submittedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion)
VU Research Portal (submittedVersion, other-oa)
Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders: Kaiser Permanente
University of Washington
Johns Hopkins University
Kaiser Permanente Washington Health Research Institute
University of Alberta
National Institute for Health and Care Research (NF-SI-0512-10103, RP-011-015, NF-SI-0616-10043, NF-SI-0515-10095, NIHR-RP-011-015)
University of Exeter
University of Warwick
Macquarie University
Universiteit Leiden
Monash University
Vrije Universiteit Amsterdam
Universiteit Maastricht
Universiteit Stellenbosch
Keele University
Oulun Yliopisto
Syddansk Universitet
Medical Research Council
National Health and Medical Research Council
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
Keywords: low back pain, back pain prevention, back pain management, biopsychosocial model, non-pharmacological treatment, physical activity, self-management education, psychological intervention, chronic low back pain, knowledge-practice gap, overuse of imaging, opioid overuse, spinal surgery, spinal injections, work disability, care pathways, occupational health interventions, public health prevention, cost-effectiveness
MeSH terms: Analgesics, Opioid, Cost-Benefit Analysis, Diagnostic Imaging, Female, Humans, Male, United States, United States Public Health Service, Low Back Pain, Practice Guidelines as Topic, Chronic Pain, Pain Management

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Prevention and treatment of low back pain: evidence, challenges, and promising directions

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks