Non-Invasive and Minimally Invasive Management of Low Back Disorders

Oftentimes, I am asked does inversion tables help back pain?  Does aquatic therapy help back pain?  How should I sleep for back pain?  What’s a good sitting posture for back pain?  If you want to know what the Journal of Occupational and Environmental Medicine says about these and many other issues, read this article. ~ Dr. Broussard

Hegmann, Kurt T. MD, MPH

Journal of Occupational and Environmental MedicineMarch 2020 – Volume 62 – Issue 3 – p e111-e138
doi: 10.1097/JOM.0000000000001812
Abstract
Objective:
This abbreviated version of the American College of Occupational and Environmental Medicine’s (ACOEM) Low Back Disorders Guideline reviews the evidence and recommendations developed for non-invasive and minimally invasive management of low back disorders.
Methods:
Systematic literature reviews were accomplished with article abstraction, critiquing, grading, evidence table compilation, and guideline finalization by a multidisciplinary expert panel and extensive peer-review to develop evidence-based guidance. Consensus recommendations were formulated when evidence was lacking. A total of 70 high-quality and 564 moderate-quality trials were identified for non-invasive low back disorders. Detailed algorithms were developed.
Results:
Guidance has been developed for the management of acute, subacute, and chronic low back disorders and rehabilitation. This includes 121 specific recommendations.
Conclusion:
Quality evidence should guide treatment for all phases of managing low back disorders.
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