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APS issues new guideline for low-back pain interventions, surgery
Date:5/13/2009

with persistent and disabling radiculopathy due to herniated lumbar disc or persistent and disabling leg pain.
  • Discussion of risks and benefits of spinal cord stimulation and shared decision making, including reference to the high rate of complications following stimulator placement for patients with persistent and disabling radicular pain following surgery for herniated disc and no evidence of a persistently compressed nerve root.

    Chou and his colleagues also reaffirm their previous recommendation that all low-back pain patients stay active and talk honestly with their physicians about self care and other interventions. "In general, noninvasive therapies supported by evidence showing benefits should be tried before considering interventional therapies or surgery," said Chou.

    Recommendations from the first APS Clinical Practice Guideline on Low-Back Pain are intended for primary care physicians and appeared in the Oct, 2, 2007, issue of the Annals of Internal Medicine. For diagnosis, the first APS low-back pain guideline advises clinicians to minimize routine use of X-rays or other diagnostic tests except for patients known or believed to have underlying neurological or spinal disorders.


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  • Contact: Tamara Hargens-Bradley
    hargenst@ohsu.edu
    503-494-8231
    Oregon Health & Science University
    Source:Eurekalert

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