Low back pain

Sufficient time for the survey of the history and for the physical examination of the patientEarly recognition of serious causes of back pain and of nerve root compressionAdequate treatment of pain: according to the intensity of pain the choice is paracetamol, a NSAID or a combination of a NSAID and a mild opioid analgesicAvoidance of bed rest Continuation or resumption of ordinary daily activities as soon as possible Provision of adequate patient information: the pain will resolve but has a tendency to recur Follow-up of the patient and restoration of his/her functional capacityIn prolonged low back pain that has lasted for at least 6 weeks: multidisciplinary assessment of the patient’s situation considering also the psychosocial factors, as well as active rehabilitationIn chronic low back pain that has lasted for more than 3 months: intensive multidisciplinary rehabilitation