Low back pain and radicular pain

Боль в нижней части спины и корешковая боль
Peter Van Wambeke, Anja Desomer, Luc Ailliet, Anne Berquin, Christophe Demoulin, Bart Depreitere, Johan Dewachter, Mieke Dolphens, Patrice Forget, Virginie Fraselle, Guy Hans, Davy Hoste, Geneviève Mahieu, Jef Michielsen, Henri Nielsens, Thomas Orban, Thierry Parlevliet, Emmanuel Simons, Yannick Tobbackx, Jan Van Zundert, Jacques Vanderstraeten, Patrick Vanschaeybroeck, Joan Vlayen, Pascale Jonckheer
2017-01-01

clinical examinationepidural injectionslow back painradicular painrisk assessment and stratification
1. COMPOSITION OF EXPERTS AND STAKEHOLDERS GROUPS 6 -- 1.1. COMPOSITION OF THE GUIDELINE DEVELOPMENT GROUP 6 -- 1.2. COMPOSITION OF THE STAKEHOLDERS GROUP 8 -- 1.3. COMPOSITION OF THE KCE EXPERT TEAM 9 -- 2. INITIAL INTERVENTIONS PROPOSED FOR THE SCOPE OF THE GUIDELINE 10 -- 3. SEARCH STRATEGIES FOR GUIDELINES 12 -- 4. QUALITY APPRAISAL OF 17 SELECTED GUIDELINES 13 -- 5. QUALITY APPRAISAL OF THE NICE GUIDELINE 15 -- 6. EXAMPLE OF LIME SURVEY 18 -- 7. SUMMARY SHEETS 22 -- 7.1. CLINICAL EXAMINATION 22 -- 7.2. RISK ASSESSMENT AND STRATIFICATION 26 -- 7.3. IMAGING 40 -- 7.4. SELF-MANAGEMENT 51 -- 7.5. EXERCISE THERAPIES 64 -- 7.6. POSTURAL THERAPIES. 109 -- 7.7. ORTHOTICS AND APPLIANCES 116 -- 7.8. MANUAL THERAPIES 122 -- 7.9. ACUPUNCTURE 164 -- 7.10. ELECTROTHERAPIES 172 -- 7.11. PSYCHOLOGICAL INTERVENTIONS 195 -- 7.12. MULTIDISCIPLINARY BIOPSYCHOSOCIAL REHABILITATION (MBR) PROGRAMS 210 -- 7.13. RETURN TO WORK PROGRAMMES 231 -- 7.14. PHARMACOLOGICAL INTERVENTIONS 244 -- 7.14.1. General issues 244 -- 7.14.2. Specific points of discussion for NSAIDs 256 -- 7.14.3. Specific points of discussion for paracetamol 268 -- 7.14.4. Specific points of discussion for opioids 274 -- 7.14.5. Specific points of discussion for antidepressants 289 -- 7.14.6. Specific points of discussion for anticonvulsants 292 -- 7.14.7. Specific points of discussion for muscle relaxants 294 -- 7.14.8. Specific points of discussion for antibiotics 295 -- 7.14.9. Specific point of discussion for oral methylprednisolone 296 -- 7.15. SPINAL INJECTIONS 297 -- 7.16. RADIOFREQUENCY DENERVATION FOR FACET JOINT PAIN 313 -- 7.17. EPIDURAL INJECTIONS FOR RADICULAR PAIN 333 -- 7.18. SURGERY AND PROGNOSTIC FACTORS 360 -- 7.19. DISC REPLACEMENT 366 -- 7.20. SPINAL FUSION 376 -- 7.21. SPINAL DECOMPRESSION FOR RADICULAR PAIN 387 -- 8. EXTERNAL REVIEW. 400
1
Interventional and surgical options addressed include spinal injections, radiofrequency denervation, epidural injections, disc replacement, spinal fusion, and decompression for radicular pain.
2
It reviews pharmacological treatments, including NSAIDs, paracetamol, opioids, antidepressants, anticonvulsants, muscle relaxants, antibiotics, and oral methylprednisolone.
3
It systematically evaluates existing guidelines and includes quality appraisal of 17 selected guidelines and the NICE guideline.
4
The document is a clinical guideline focused on low back pain and radicular pain management.
5
The guideline covers assessment, risk stratification, imaging, self-management, exercise, psychological and multidisciplinary rehabilitation, and return-to-work programs.

low back pain and radicular pain

assessment and management of clinical features, risk factors, diagnostic procedures, and therapeutic interventions

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Publication Date
2017-01-01
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Authors
Peter Van Wambeke
Anja Desomer
Luc Ailliet
Anne Berquin
Christophe Demoulin
Bart Depreitere
Johan Dewachter
Mieke Dolphens
Patrice Forget
Virginie Fraselle
Guy Hans
Davy Hoste
Geneviève Mahieu
Jef Michielsen
Henri Nielsens
Thomas Orban
Thierry Parlevliet
Emmanuel Simons
Yannick Tobbackx
Jan Van Zundert
Jacques Vanderstraeten
Patrick Vanschaeybroeck
Joan Vlayen
Pascale Jonckheer
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