There have been many advances in the care of patients with low back pain (LBP), including improved imaging techniques, technology, and passive interventions. Even so, the prevalence of LBP continues to increase and the condition has become the leading cause of disability worldwide. After receiving care from a general practitioner or chiropractor, many LBP patients report that they still have pain a year later, and up to ~75% will have another episode of LBP within that timeframe. Persons with chronic low back pain (CLBP) – that is, pain for greater than three months – have a gloomier outlook, with 60-80% of those seeking help still reporting LBP past one year. Considering how burdensome LBP has become to individuals and society, and how resistant CLBP is to treatment, the authors of this paper (published in the Journal of the Canadian Chiropractic Association) aimed to explore the effectiveness of treatments for CLBP, particularly, commonly prescribed exercise programs...LOG IN OR SUBSCRIBE TO READ OR LISTEN TO THIS REVIEW!
Two major take home points form this paper include:
  1. Context matters! Your words and communication style can have a very positive, or negative, influence on how a patient responds to your care...use this to your advantage to help the patient achieve the best outcomes.
  2. The type of exercise is not as important as we once thought - just find something your patient will enjoy and commit to doing!
Contemporary Biopsychosocial Exercise Prescription for Chronic Low Back Pain

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