The Recent Trend in Diagnosis and Treatment of Chronic Low Back Pain

• Published in: Spine Surgery and Related Research Vol. 1; no. 1; pp. 1 - 6
• Main Author: Kikuchi, Shinichi
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society for Spine Surgery and Related Research 01.01.2017
• Subjects: chronic low back pain; diagnosis; Review; treatment; chronic low back pain; treatment; diagnosis
• ISSN: 2432-261X; 2432-261X
• DOI: 10.22603/ssrr.1.2016-0022

Introduction: Development of evidence-based medicine has made a big change in diagnosis and treatment of chronic low back pain. The recent trend is assessed through a review of literature. Methods: The articles published in these 10 years are reviewed, and important points are examined. Results: In diagnosis, challenges for history taking and limit of imaging or clinical guidelines are revealed. In treatment, cognitive behavioral treatment and exercises are proved effective. Sleep disturbance has recently attracted attention as a factor associated with low back pain. Cost-effectiveness of diagnosis and treatment modalities has come to be emphasized. Conclusions: Diagnosis and treatment of chronic low back pain have been significantly changing. Multidisciplinary and multidimensional approach is essential. Chronic low back pain should be treated as a total pain, not a local pain.