Acute back pain

[Acute low back pain].

A focused history taking and physical examination directed toward uncovering signs that suggest a serious underlying cause of low back pain are crucial. "Red flags" include pain that lasts more than 6 weeks; pain in persons younger than 18 years or older than 50 years; pain that radiates below the knee; a history of major trauma; poor rectal tone; constitutional symptoms; atypical pain (eg, tha...

Acute low back pain.

Cyclobenzaprine for acute back pain.

Evidence • In 3 systematic reviews (9 to 46 RCTs, 820 to 5401 patients) of non-benzodiazepine muscle relaxants versus placebo, differences were statistically significant1-3: -Pain scores were about 12 points lower on a 100point visual analogue scale at 10 days.1 -There was undefined pain reduction (number needed to treat [NNT] of 4 to 7) at 2 to 7 days; an undefined target for global efficacy (...

Acute and Chronic Low Back Pain.

Low back pain is an extremely common presenting complaint that occurs in upward of 80% of persons. Treatment of an acute episode of back pain includes relative rest, activity modification, nonsteroidal anti-inflammatories, and physical therapy. Patient education is also imperative, as these patients are at risk for further future episodes of back pain. Chronic back pain (>6 months' duration) de...

Acute low back pain: assessment and management.

BACKGROUND Back pain is a common presenting problem in Australian general practice. Serious causes, however, are rare. Tumours, infections and fractures account for less than 1% of cases and can usually can be recognised or excluded by taking a careful history. Patients should expect a good outcome. OBJECTIVE This article summarises the management of acute low back pain and sets out the key p...