Chronic Low Back Pain (CLBP)
Definition from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4450869/
Definition from: http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm
Chronic back pain is defined as pain that persists for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year. In some cases, treatment successfully relieves chronic low back pain, but in other cases pain persists despite medical and surgical treatment.
The magnitude of the burden from low back pain has grown worse in recent years. In 1990, a study ranking the most burdensome conditions in the U.S. in terms of mortality or poor health as a result of disease put low back pain in sixth place; in 2010, low back pain jumped to third place, with only ischemic heart disease and chronic obstructive pulmonary disease ranking higher.
Current guidelines for CLBP treatment:
APS List of All Available Guidelines:
APS Guideline (2009) Chou & Huffman: Guidelines for the Evaluation and Management of LBPthe Evaluation and Management of L
New Guideline (2016): Globe, G., Farabaugh, R. J., Hawk, C., Morris, C. E., Baker, G., Whalen, W. M., ... Augat, T. (2016). Clinical Practice Guideline: Chiropractic Care for Low Back PainPain. Journal of Manipulative & Physiological Therapeutics, 39(1), 1–22.
North American Spine Society (2016): Diagnosis and Treatment of Low-Back Pain Evidence-Based Guidelineand Treatment of Low-Back Pain Evidence-Based Guideline 2016-Currently Under Development:
State of the (Treatment) Evidence:
Agency for Healthcare Research and Quality: Noninvasive Treatments for Low Back Pain:
Current State of the Evidence: https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=2327
Fully Report: Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, Fu R, Dana T, Kraegel P, Griffin J, Grusing S, Brodt E. Noninvasive Treatments for Low Back Pain. Comparative Effectiveness Review No. 169Review No. 169. (Prepared by the Pacific Northwest Evidence-based Practice Center under Contract No. 290-2012-00014-I.)
Nahin, R. L., Boineau, R., Khalsa, P. S., Stussman, B. J., & Weber, W. J. (2016). Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States. Mayo Clinic Proceedings, 91(9), 1292–1306. https://doi.org/10.1016/j.mayocp.2016.06.007 http://www.sciencedirect.com/science/article/pii/S0025619616303172
Latest News and Research on CLBP:
IASP Clinical Updates:
Pain: Clinical Update (2010)
IASP Fact Sheets: