National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperReviewResearchpeer-review

  • Mette Jensen Stochkendahl
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  • Per Kjaer
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  • Jan Hartvigsen, Nordic Institute of Chiropractic and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
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  • Alice Kongsted, Nordic Institute of Chiropractic and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
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  • Jens Aaboe, The Danish Health Authority, Islands Brygge 67, 2300, Copenhagen S, Denmark.
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  • Margrethe Andersen, Frederiksberg Municipality, Smallegade 1, 2000, Frederiksberg, Denmark.
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  • Mikkel Ø Andersen, Center for Spine Surgery and Research, Lillebaelt Hospital, Østre Hougvej 55, 5500, Middelfart, Denmark.
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  • Gilles Fournier, Center for Rheumatology and Spine Diseases, Frederiksberg Hospital, Nordre Fasanvej 57, 2000, Frederiksberg, Denmark.
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  • Betina Højgaard, KORA, the Danish Institute for Local and Regional Government Research, Copenhagen and Aarhus, Købmagergade 22, 1150, Copenhagen K, Denmark.
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  • Martin Bach Jensen, Department of Clinical Medicine, Research Unit for General Practice in Aalborg, Aalborg University, Fyrkildevej 7, 1.3, 9220, Aalborg, Denmark.
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  • Lone Donbæk Jensen
  • Ture Karbo, Spine Unit, Department of Orthopaedic Surgery, The National University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark.
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  • Lilli Kirkeskov, Unit of Social Medicine, Department of Occupational and Environmental Medicine, Frederiksberg Hospital, Ndr. Fasanvej 57, Vej 8, 2.2, 2000, Frederiksberg, Denmark.
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  • Martin Melbye, Aalborg Spine Clinic, Vingaardsgade 9, 9000, Aalborg, Denmark.
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  • Lone Morsel-Carlsen, Department of Radiology, Rigshospitalet-Glostrup, Ndr. Ringvej 57, 2600, Glostrup, Denmark.
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  • Jan Nordsteen, Copenhagen Back and Rehabilitation Centre, Mimersgade 41, 2200, Copenhagen, Denmark.
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  • Thorvaldur Skuli Palsson, Department of Health Science and Technology, SMI®, Aalborg University, Frederik Bajers Vej 7D, 9220, Aalborg, Denmark.
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  • Zoreh Rasti, Department of Radiology, Bispebjerg and Frederiksberg Hospital, Ndr. Fasanvej 57, 2000, Frederiksberg, Denmark.
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  • Peter Frost Silbye, , Bondetinget 24-01, 4000, Roskilde, Denmark.
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  • Morten Zebitz Steiness
  • Simon Tarp, Musculoskeletal Statistics Unit, The Parker Institute, Copenhagen University Hospital at Bispebjerg and Frederiksberg, Nordre Fasanvej 57, 2000, Copenhagen, Denmark.
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  • Morten Vaagholt, , Hvidkildevej 62, 2400, København NV, Denmark.

PURPOSE: To summarise recommendations about 20 non-surgical interventions for recent onset (<12 weeks) non-specific low back pain (LBP) and lumbar radiculopathy (LR) based on two guidelines from the Danish Health Authority.

METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach.

RESULTS: Sixteen recommendations were based on evidence, and four on consensus. Management of LBP and LR should include information about prognosis, warning signs, and advise to remain active. If treatment is needed, the guidelines suggest using patient education, different types of supervised exercise, and manual therapy. The guidelines recommend against acupuncture, routine use of imaging, targeted treatment, extraforaminal glucocorticoid injection, paracetamol, NSAIDs, and opioids.

CONCLUSION: Recommendations are based on low to moderate quality evidence or on consensus, but are well aligned with recommendations from international guidelines. The guideline working groups recommend that research efforts in relation to all aspects of management of LBP and LR be intensified.

Original languageEnglish
JournalEuropean Spine Journal
Volume27
Issue1
Pages (from-to)60-75
Number of pages16
ISSN0940-6719
DOIs
Publication statusPublished - 2018

    Research areas

  • Journal Article, Review

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