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WHO Guideline on Chronic low Back Pain
Posted on Sep 26, 2024In December 2023, the World Health Organisation (WHO) launched its new Guideline for the Non-Surgical Management of Chronic Primary Low Back Pain in Adults in Primary and Community Care Settings, which provides evidence-informed recommendations on non-surgical interventions for chronic primary LBP (CPLBP).
Recommendations for:
Among the five classes of interventions for the management of chronic primary low back pain (CPLBP) in adults considered in the Guideline, conditional recommendations favoured the use of exercise, education and advice, spinal manipulation, needling therapies (including dry needling), cognitive behavioural therapy and the judicious use of non-steroidal anti-inflammatory medicines and topical cayenne pepper.
Recommendations against:
Interventions which were not recommended in favour of use included a multitude of pharmacological interventions (such as opioids, muscle relaxants, paracetamol and injectable local anaesthetics), traction, transcutaneous electrical stimulation (TENS), lumbar braces, belts and/or supports and therapeutic ultrasound.
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