Management of Chronic Lower Back Pain An Evidence-Based Practice Recommendation and Project Proposal
Alternative Title
Abstract
Chronic lower back pain is a leading cause of disability worldwide. In the Global Burden of Disease 2010 study LBP (low back pain) ranked highest in terms of disability (Hoy, March & Brooks, 2014). Studies show that more than half of patients treated for chronic low back pain in the United States are treated with opioid analgesics (Abdel, Maher, Williams, Day & McLachlan, 2016). Yet, current literature does not support the use of opioids for chronic lower back pain (Chaparro et al., 2013). Risks involved with opioid treatment include physical and psychological dependence and even death (Johnson, 2016). Primary care providers need guidance on the evaluation and treatment of chronic lower back pain. First line recommended treatment guidelines for chronic lower back pain include nonpharmacologic treatment with exercise, multidisciplinary rehabilitation and supportive therapies such as acupuncture, mindfulness-based stress reduction, tai chi or yoga (Qaseem, Wilt, McLean & Forciea, 2017).
Description
Capstone Project
Citation
Publisher
Hawaii Pacific University