Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and
the American Pain Society
- Roger Chou, MD;
- Amir Qaseem, MD, PhD, MHA;
- Vincenza Snow, MD;
- Donald Casey, MD, MPH, MBA;
- J. Thomas Cross, Jr, MD, MPH;
- Paul Shekelle, MD, PhD;
- Douglas K. Owens, MD, MS; and
- for the Clinical Efficacy Assessment Subcommittee of the American College of Physicians and the American College of Physicians/American
Pain Society Low Back Pain Guidelines Panel*
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From Oregon Health & Science University, Portland, Oregon; the American College of Physicians, Philadelphia, Pennsylvania;
Atlantic Health, Morristown, New Jersey; Medstudy, Colorado Springs, Colorado; and Veterans Affairs Health Care System and
RAND, Santa Monica, Veterans Affairs Palo Alto Health Care System, Palo Alto, and Stanford University, Stanford, California.
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Figure 1. ). Do not use this algorithm for back pain associated with major trauma, nonspinal back pain, or back pain due to
systemic illness. CRP = C-reactive protein; EMG = electromyography; ESR = erythrocyte sedimentation rate; MRI = magnetic resonance
imaging; NCV = nerve conduction velocity. Initial evaluation of low back pain (LBP
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Figure 2. ). MRI = magnetic resonance imaging; NSAIDs = nonsteroidal anti-inflammatory drugs; TCA = tricyclic antidepressants. Management of low back pain (LBP
Responses to this article
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Ann Intern Med
October 2, 2007
vol. 147
no. 7
478-491