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Papers of the Week

Papers: 24 Sep 2022 - 30 Sep 2022

2022 Sep 28

Rev Med Suisse



[New guidelines for the management of low back pain in general practice – «Stop pain without drugs»].


Perles T, Perret I, Genevay S, Sacroug T, Spechbach H
Rev Med Suisse. 2022 Sep 28; 18(797):1779-1783.
PMID: 36170128.


The so-called 4P medicine, preventive, predictive, participatory, and personalized, which places the patient at the center has influenced the latest recommendations for the management of common low back pain. The management of low back pain in the acute, subacute, and chronic phase is currently based on the profile of each patient with their risk factors, their prognosis, and the respect of their preferences, promoting an integrative approach. During the first consultation, it is important to identify factors of moderate to poor prognosis, including kinesiophobia and to search for false beliefs, through a detailed medical history. The non-pharmacological approaches are more effective and have less side effects than the medications. Reassurance and therapeutic education are the first steps in good management of common low back pain.