Journal Article

Low back and radicular pain: a pathway for care developed by the British Pain Society

J. Lee, S. Gupta, C. Price and A. P. Baranowski

Edited by L. Colvin and D. J. Rowbotham

in BJA: British Journal of Anaesthesia

Published on behalf of the British Journal of Anaesthesia

Volume 111, issue 1, pages 112-120
Published in print July 2013 | ISSN: 0007-0912
Published online July 2013 | e-ISSN: 1471-6771 | DOI: http://dx.doi.org/10.1093/bja/aet172
Low back and radicular pain: a pathway for care developed by the British Pain Society

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Summary

These consensus guidelines aim to provide an overview of best practice for managing chronic spinal pain reflecting the heterogeneity of low back pain. Most guidelines have covered only one aspect of spinal care and thus have been divisive and potentially worsened the quality of care. Additionally, some of the evidence base is subjective and of poor quality. The British Pain Society low back pain pathway has reached across all disciplines and involved input from patients. It is recognized, however, that there is an urgent need for further good-quality clinical research in this area to underpin future guidelines. Considerable work is still needed to clarify the evidence; however, foundations have been laid with this pathway. Key features include: risk stratification; clarification of intensity of psychological interventions; a logical progression for the management of sciatica; and decision points for considering structural interventions such as spinal injections and surgery.

Keywords: analgesics, opioid; injections, epidural; injections, spinal; low back pain; radiculopathy; sciatica; zygapophyseal joint

Journal Article.  4864 words.  Illustrated.

Subjects: Anaesthetics

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