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December 2019

Tips to manage acute low back pain in adults

According to the Michigan Quality Improvement Consortium, 90% of low back pain episodes resolve within six weeks, regardless of treatment. Typically, imaging isn’t required within the first six weeks, unless certain red flags are present. Red flags include, but aren’t limited to:

  • Cauda equina syndrome
  • Cancer
  • Infection
  • Spinal fracture
  • Loss of bladder control or bowel control

Without red flags, a conservative approach is preferred. These approaches include:

  • Instructing the patient to stay active as tolerated by pain
  • Avoiding bed rest
  • Doing back exercises and stretches
  • Injury prevention
  • Using over-the-counter pain relievers

MQIC published Management of Acute Low Back Pain in Adults** as a guideline for providers. The guideline recommends focusing on patient reassurance, detailed history and physical exam, therapy, referrals and medication strategies.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.
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