Lege Artis Medicinae

[The new British recommendations for the treatment of lower back pain on the basis of the new NICE guidelines - comparison with the Hungarian therapeutic practice]

VERECKEI Edit1, PALKONYAI Éva2, SIMONCSICS Eszter3, APÁTHY Ágnes1, TEMESVÁRI I. Péter4

MARCH 22, 2012

Lege Artis Medicinae - 2012;22(03)

[The new NICE guidelines on lower back pain emphasise the importance of clinical assessment. Radiological imaging methods are used primarily to exclude severe diseases, such as tumour, infection, trauma or inflammation. It’s crucial to inform patients and encourage them to use self-management and stay active. Pain management is guided by the analgesic ladder. A complex physical and psychological treatment is used, which involves a structured exercise programme, manual therapy and acupuncture, taking into account the preferences of the patient. Depending on the aetiology, surgical intervention should be considered in therapy-resistant cases. Finally, the authors compare the above guidelines with the Hungarian practice in this field.]

AFFILIATIONS

  1. Országos Reumatológiai és Fizioterápiás Intézet
  2. St. Mary’s Hospital, Isle of Wight; Egyesült Királyság
  3. Egyesített Szent István és Szent László Kórház, Rehabilitációs Centrum
  4. Tameside General Hospital; London, Egyesült Királyság

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LAM Extra for General Practicioners

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