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Low Back Pain [2010 update]

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Step Status
Educational Materials
Release Date: Mon, 1/1/18
Termination Date: Tue, 12/31/19
Credits: 1
Description: Acute low back pain occurs in about 80% of adults. Acute low back pain is the second most common symptomatic reason for office visits to primary care physicians. Recurrence is common: with 60-80% of patients experiencing reoccurrence within two years. A great majority of persons with non-radiating low back pain will have symptoms resolved within 6 weeks. Half of all persons with radiating back pain recover spontaneously within 6 weeks. As time passes without resolution, the prognosis worsens. This self-study activity provides practical guidance to clinicians with key aspects of care.

New with this update:
  • Updated medications (Table 7).
  • Assess GI risk prior to prescribing NSAIDs (Table 8).
  • Early opioid use is associated with prolonged length of disability and increased cost of care.
  • Multidisciplinary rehabilitation is effective for patients disabled by low back pain.
  • Lumbo-pelvic pain in pregnancy is associated with increased risk of post-partum depression.
Educational Objectives: Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for providing care for low back pain in adults.
Target Audience: This self-study activity is appropriate for primary care clinicians and other health care providers providing care for low back pain in adults.
Accreditation Information: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Release Date: January 2010

Termination Date: November 2021

Continued availability of CME credit for this activity depends on a thorough review of its content every three years. This activity was last reviewed for currency and accuracy in January 2016, and availability of CME credit continued.

Additional Info: Authors:
Anthony Chiodo, MD; Physical Medicine & Rehabilitation
David Alvarez, DO; Family Medicine
Gregory Graziano, MD; Orthopedic Surgery
Paul Park, MD; Neurosurgery
Andrew Haig, MD; Physical Medicine & Rehabilitation
Connie Standiford, MD; General Internal Medicine
Van Harrison, PhD; Medical Education

Financial Disclosure Information:
Anthony Chiodo, MD
Advisory Board: Medtronic

Andrew Haig, MD
President: Rehabilitation Team Assessments, LLC

Paul Park, MD
Depuy: Medtronic

There are no other relevant financial relationships to disclose for this CME activity.

UMHS Guidelines Oversight Team:
William E. Chavey, MD
R. Van Harrison
PhD Connie J. Standiford, MD

Literature Search Services:
Taubman Medical Library

Credits available:

AMA PRA Category 1: 1.00
Participation: 1.00