The Chinese Association for the Study of Pain (CASP): Consensus on the Assessment and Management of Chronic Nonspecific Low Back Pain - PubMed (original) (raw)

Review

. 2019 Aug 15:2019:8957847.

doi: 10.1155/2019/8957847. eCollection 2019.

Zhi-Gang Zhuang 2, Lin Wang 3, Xian-Guo Liu 4, Li-Juan Lu 5, Xiao-Qiu Yang 6, Yan Lu 7, Zhi-Jian Fu 8, Tao Song 9, Dong Huang 10, Hui Liu 11, You-Qing Huang 12, Bao-Gan Peng 13, Yan-Qing Liu 14

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Review

The Chinese Association for the Study of Pain (CASP): Consensus on the Assessment and Management of Chronic Nonspecific Low Back Pain

Ke Ma et al. Pain Res Manag. 2019.

Abstract

Chronic nonspecific low back pain (CNLBP) is defined as pain or discomfort originating from the waist, which lasts for at least 12 weeks, but no radiculopathy or specific spinal diseases. CNLBP is a complicated medical problem and places a huge burden on healthcare systems. Clinical manifestation of CNLBP includes discogenic LBP, zygapophyseal joint pain, sacroiliac joint pain, and lumbar muscle strain. Further evaluation should be completed to confirm the diagnosis including auxiliary examination, functional assessment, and clinical assessment. The principle of the management is to relieve pain, restore function, and avoid recurrence. Treatment includes conservative treatment, minimally invasive treatment, and rehabilitation. Pharmacologic therapy is the first-line treatment of nonspecific LBP, and it is most widely used in clinical practice. Interventional therapy should be considered only after failure of medication and physical therapy. Multidisciplinary rehabilitation can improve physical function and alleviate short-term and long-term pain. The emphasis should be put on the prevention of NLBP and reducing relevant risk factors.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

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Figure 1

Flow chart of the treatment.

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References

    1. Balagué F., Mannion A. F., Pellisé F., Cedraschi C. Non-specific low back pain. The Lancet. 2012;379(9814):482–491. doi: 10.1016/s0140-6736(11)60610-7. - DOI - PubMed
    1. Lai J., Porreca F., Hunter J. C., Gold M. S. Voltage-gatedsodiumchannels andhyperalgesia. Annual Review of Pharmacology and Toxicology. 2004;44(1):371–397. doi: 10.1146/annurev.pharmtox.44.101802.121627. - DOI - PubMed
    1. Kallewaard J. W., Edelbroek C., Terheggen M., Raza A., Geurts J. W. A prospective study of dorsal root ganglion stimulation for non-operated discogenic low back pain. Neuromodulation: Technology at the Neural Interface. 2019 doi: 10.1111/ner.12937. - DOI - PubMed
    1. Baron R., Binder A., Attal N., Casale R., Dickenson A. H., Treede R.-D. Neuropathic low back pain in clinical practice. European Journal of Pain. 2016;20(6):861–873. doi: 10.1002/ejp.838. - DOI - PMC - PubMed
    1. DePalma M. J., Ketchum J. M., Saullo T. What is the source of chronic low back pain and does age play a role? Pain Medicine. 2011;12(2):224–233. doi: 10.1111/j.1526-4637.2010.01045.x. - DOI - PubMed

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