Early Intervention for the Management of Acute Low Back Pain

Benedict M. Wand, BAppSc, GradDip(ExSpSc), MAppSc, PhD; Christien Bird, MSc, MCSP; James H. McAuley, BSc, PgDip, PhD; Caroline J. Doré, BSc; Maureen MacDowell, MCSP; Professor Lorraine H. De Souza


Spine. 2004;29(21) 

In This Article


In the United Kingdom, the CSAG report[7] called for a change in the health service provided for patients with low back pain. The report concluded that, although there is a high probability that an acute attack will settle, this should not be taken as grounds for complacency, inactivity, or a policy of wait and see on the part of the health professionals. The report was criticized for basing recommendations on anecdotal evidence and on making a bold claim that the provision of services at the acute stage...will prevent chronic pain and disability.[39] Our results do not specifically support the CSAG recommendation. Early intervention does not affect long-term pain and disability. However, other important features of the low back pain experience are dependent on the timing of intervention. Further research is needed to fully clarify the role of early intervention.

The manuscript submitted does not contain information about medical device(s)/drug(s).


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