New recommendations are made for care of lower back pain. Some surprise me after years of representing people who suffer low back pain from a car accident, motorcycle crash, or workers' compensation claim. Low-back pain is the fifth most common reason for doctor's visits and accounts for more than $26 billion in direct health care costs nationwide each year.
According to a recent article in Medical News Today, the American Pain Society (APS) has issued guidelines for low back pain that emphasizes the use of noninvasive treatments over interventional procedures. Based on the data the panel gathered, the APS now recommends:
1. Against the use of provocative discography (injection of fluid into the disc in order to determine if it is the source of back pain) for patients with chronic nonradicular low-back pain.
2. The consideration of intensive interdisciplinary rehabilitation with a cognitive/behavioral emphasis for patients with nonradicular low-back pain who do not respond to usual, non-interdisciplinary therapies.
3. Against facet joint corticosteroid injection, prolotherapy, and intradiscal corticosteroid injections for patients with persistent nonradicular low-back pain, and insufficient evidence to guide use of other interventional therapies.
4. A discussion of risks and benefits of surgery and the use of shared decision making with reference to rehabilitation as a similarly effective option for patients with nonradicular low-back pain, common degenerative spinal changes, and persistent and disabling symptoms.
5. Insufficient evidence to guide recommendations for vertebral disc replacement.
6. A discussion of the risks and benefits of epidural steroid injections and shared decision making, including specific review of evidence of lack of long-term benefit for patients with persistent radiculopathy due to herniated lumbar disc.
7. A discussion of the risks and benefits of surgery and use of shared decision making that references moderate benefits that decrease over time for patients with persistent and disabling radiculopathy due to herniated lumbar disc or persistent and disabling leg pain.
8. 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.
So, if you are experiencing low back pain from a car accident, workers' compensation claim, motorcycle collision, or other personal injury matter, consider these new recommendations and talk to your doctor about them. An informed patient often has better recovery.
If your injury is caused by the negligence of another, you should talk with an attorney who understands Florida's personal injury law. Personal Injury Attorney Matthew Noyes has been in the personal injury field for over 20 years. His Tampa Bay personal injury law firm has been caring for clients after car accidents, motorcycle crashes and other personal injury claims for over 54 years. Click here to schedule a free case consultation with Personal Injury Attorney Matthew Noyes.