An Evidence-Based Approach To The Evaluation And Treatment Of Low Back Pain In The Emergency Department
EMPOWERING PHYSICIANS WITH EVIDENCE-BASED CONTENT
 

Home > Browse Topics

An Evidence-Based Approach To The Evaluation And Treatment Of Low Back Pain In The Emergency Department

July 2013

Abstract

Low back pain is the most common musculoskeletal complaint that results in a visit to the emergency department, and it is 1 of the top 5 most common complaints in emergency medicine. Estimates of annual healthcare expenditures for low back pain in the United States exceed $90 billion annually, not even taking lost productivity and business costs into account. This review explores an evidence-based rationale for the evaluation of the patient with low back pain, and it provides guidance on risk stratification pertaining to laboratory assessment and radiologic imaging in the emergency department. Published guidelines from the American College of Physicians and American Pain Society are reviewed, with emphasis on best evidence for pharmacologic treatments, self-care interventions, and more invasive procedures and surgery in management of low back pain. Utilizing effective and proven strategies will avoid medical errors, provide better care for pa- tients, and help manage healthcare resources and costs.

Key Words: low back pain, herniated disc, sciatica, cauda equina syndrome, radiculopathy, NSAID, acetaminophen, muscle relaxant, opioid, fusion, discectomy, laminectomy, epidural steroid injection

Table Of Contents:

Trusted for more than 18 years, Emergency Medicine Practice is the only MEDLINE-indexed journal dedicated exclusively to the practical application of the evidence in emergency medicine. Our authors, peer reviewers, and editorial board of practicing emergency medicine physicians distill all of the evidence on a given topic into concise, relevant, and effective recommendations for your clinical practice. Topics like cardiovascular emergencies, trauma, emergency procedures, airway, toxicologic emergencies, neurologic emergencies, and more are covered in our monthly journal issues.

Your subscription includes:

  • New print and online issues of Emergency Medicine Practice
  • Over 200 archived issues on our mobile-optimized website
  • Points & Pearls supplement (a two-page digest of each issue)
  • EMplify podcast, including the must-know points from the issue
  • Calculated Decisions supplement (powered by MDCalc)
  • 48 CME credits from upcoming issues
  • 144 CME credits from archived issues, including trauma CME, stroke CME, and more

Subscribe today to get access to this issue and more!

To view this issue, please choose one of the options below:

Purchase a
subscription
$349
Emergency Medicine Practice
 
Sign up for a free trial
Free 48-hour trial
Emergency Medicine Practice
 

ACEP18, EB Medicine CME Discount Sale

 
About EB Medicine:
Products:
Accredited By:
ACCME ACCME
AMA AMA
ACEP ACEP
AAFP AAFP
AOA AOA
AAP AAP
Endorsed By:
AEMAA AEMAA
HONcode HONcode
STM STM

 

Last Modified: 10/23/2018
© EB Medicine