Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Primary Care


Nancy Reid


Purpose: The purpose of this article is to review the current evidence-based information, determining which nonpharmacological and pharmacological interventions as better recognized therapeutic methods in managing adults with LBP in a primary care setting.

Method: A PubMed literature search conducted with search terms low back pain, medications, interventions, treatment, and clinical guidelines. Twenty-two pertinent articles were retrieved, and they serve as the basis for this clinical review.

Results: A sufficient amount of evidence-based research exists in the treatment of adults with LBP in a primary care setting.

Conclusion: A majority of patients experiencing acute and persistent n-s low back pain with or without radiculopathy are capable of being managed effectively in the primary care setting. All patients should receive low back pain education and information on evidence-based self-management treatment options. A greater emphasis on nonpharmacological treatment options vs. pharmacological or surgical interventions. Two recent clinical practicing guidelines for low back pain: United Kingdom National Institute for Health and Care Excellence (2016)and American College of Physicians (2017) provide primary care clinicians evidence-based medicine recommendations managing low back pain in a primary care setting.


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