Cited by 399Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

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Low back pain and sciatica: summary of NICE guidance

Bernstein, Ian A, Malik, Qudsia, Carville, Serena, Ward, Stephen·2017·BMJ

DOI 10.1136/bmj.i6748

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Abstract

#### What you need to know Low back pain is the leading cause of long term disability worldwide.1 The lifetime incidence of low back pain is 58-84%,2 and 11% of men and 16% of women have chronic low back pain.3 Back pain accounts for 7% of GP consultations and results in the loss of 4.1 million working days a year.2 More than 30% of people still have clinically significant symptoms after a year after onset of sciatica.4 This guideline replaces the National Institute for Health and Care Excellence (NICE) guideline on early management of low back pain in adults (2009) and expands its remit. It summarises the updated recommendations from NICE for the assessment and management of low back pain and sciatica.5 For a visual summary, please see infographic. It is intended to overcome patchy commissioning of back pain pathways and pain management programmes6 and poor implementation due to clinicians’ beliefs that previous recommendations were constraining clinical practice.7 NICE recommendations are based on systematic reviews of best available evidence and explicit consideration of cost effectiveness. When minimal evidence …

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A Heavy Burden: the occurrence and impact of musculoskeletal conditions in the United Kingdom today.
Parsons, S., Ingram, M., Clarke-Cornwell, A. M., & Symmons, D. P. M. (2011) · Cited by 27

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“One form of treatment for chronic pain, suggested by the recent guidelines by National Institute for Health and Care Excellence (NICE; Bernstein et al., 2017), is to use manual therapy as part of a broader package of treatments (e.g. in conjunction with exercise therapy and psychological treatment)…”
Method
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Diffusion tensor imaging reveals changes in microstructural integrity along compressed nerve roots that correlate with chronic pain symptoms and motor deficiencies in elderly stenosis patients
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Role of Exercise on Inflammation Cytokines of Neuropathic Pain in Animal Models
Zheng, Y.-N., Zheng, Y.-L., Wang, X., & Chen, P. (2024) · Molecular Neurobiology · doi:10.1007/s12035-024-04214-4 · Cited by 21
Efficacy of tuina in patients with chronic neck pain: study protocol for a randomized controlled trial
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Transition from Acute to Chronic Pain: Where Cells, Systems and Society Meet
Glare, P., Overton, S., & Aubrey, K. (2020) · Pain Management · doi:10.2217/pmt-2019-0039 · Cited by 20

Authors: Bernstein, I. A., Malik, Q., Carville, S., & Ward, S.
Affiliations: London North West Healthcare NHS Trust (GB)
Royal College of Physicians (GB)
Brighton and Sussex University Hospitals NHS Trust (GB)
ORCID: Bernstein, Ian A
Carville, Serena
Ward, Stephen
Venue: BMJ
Publisher: BMJ
Published: 2017-01-06
Volume: 356
Pages: i6748
ISSN: 1756-1833 (ISSN-L)
0959-8138
DOI: 10.1136/bmj.i6748
OpenAlex: W2568605285
Cited by: 399
References: 2
Citations by year: 2026: 23 · 2025: 35 · 2024: 45 · 2023: 60 · 2022: 47 · 2021: 52 · 2020: 48 · 2019: 43 · 2018: 35 · 2017: 9
FWCI: 26.02
Type: journal article
Language: en
Update notices: correction (2021-07-14)
Open access: closed
Licence: www.bmj.org/licenses/tdm/1.0/terms-and-conditions.html (tdm)
Locations: BMJ (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
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, sciatica, NICE guidelines, chronic back pain, back pain management, clinical evaluation, pain management program, implementation of clinical recommendations, cost-effectiveness
MeSH terms: Humans, Sciatica, Randomized Controlled Trials as Topic, Low Back Pain, Practice Guidelines as Topic

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Low back pain and sciatica: summary of NICE guidance

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