The DOI matches its Crossref record; 1 of the 2 references it cites were found in a registry or an index.
Low back pain and sciatica: summary of NICE guidance
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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“Cognitive behavioral therapy (CBT) and multimodal approaches including psychological components have been demonstrated to improve CBP and associated long-term impairment [11, 12].”
From EFFects of Exposure and Cognitive behavioral Therapy for chronic BACK pain (“EFFECT-BACK”): study protocol for a randomized controlled trial (2024) · cites this paper as [11]
In the citing paper
“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) to help reduce LBP and co-morbid mental health conditions.”
From An evaluation of osteopathic treatment on psychological outcomes with patients suffering from chronic pain: A prospective observational cohort study collected through a health and well-being academy (2018) · cites this paper as Bernstein et al., 2017
Citations
Cites
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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1 of the 2 references couldn’t be matched to a known paper.
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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
Vlaeyen, J. W. S., Maher, C. G., Wiech, K., Van Zundert, J., Meloto, C. B., Diatchenko, L., Battié, M. C., Goossens, M., Koes, B., & Linton, S. J. (2018) · Nature Reviews Disease Primers · doi:10.1038/s41572-018-0052-1 · Cited by 497
Cohen, S. P., Bhaskar, A., Bhatia, A., Buvanendran, A., Deer, T. R., Garg, S., Hooten, W. M., Hurley, R. W., Kennedy, D. J. “. J. ”., McLean, B. C., et al. (2020) · Regional Anesthesia & Pain Medicine · doi:10.1136/rapm-2019-101243 · Cited by 372
Lim, Y. Z., Chou, L., Au, R. T., Seneviwickrama, M., Cicuttini, F., Briggs, A. M., Sullivan, K., Urquhart, D. M., & Wluka, A. E. (2019) · Journal of physiotherapy · doi:10.1016/j.jphys.2019.05.010 · Cited by 280
A critical review of the biopsychosocial model of low back pain care: time for a new approach?
Mescouto, K. A., Olson, R. E., Hodges, P. W., & Setchell, J. (2020) · Disability and Rehabilitation · doi:10.1080/09638288.2020.1851783 · Cited by 298
Metadata
- 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)
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2017-01-06
- Volume
- 356
- Pages
- i6748
- ISSN
- 1756-1833 (ISSN-L)
- 0959-8138
- 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
- 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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