Chronic low back pain (CLBP) is the leading cause of disability worldwide. The Analgesic, Anesthetic, and Addiction Clinical Trial Translations Innovations Opportunities and Networks (ACTTION) public-private partnership with the US Food and Drug Administration and the American Pain Society (APS), have combined to create the ACTTION-APS Pain Taxonomy (AAPT) - did you get all that?!
The AAPT subcategorized the umbrella diagnosis of CLBP into 3 major diagnostic conditions: chronic musculoskeletal (MSK) low back pain, chronic lumbosacral radicular pain and neurogenic claudication. These authors then created an evidence-based classification for the above-mentioned chronic LBP conditions using a multidimensional framework, which includes: 1) core diagnostic criteria; 2) common features; 3) medical and psychiatric comorbidities; 4) neurobiological, psychosocial and functional consequences; and 5) putative neurobiological and psychosocial risk factors and protective factors.
This document is a great review of CLBP conditions and can help us sharpen our diagnostic thought process…LOG IN OR SUBSCRIBE TO ACCESS THIS REVIEW!
THIS WEEK'S RESEARCH REVIEW: “Diagnostic Criteria for Chronic Low Back Pain (AAPT)” (Journal of Pain 2020)
This paper was published in the Journal of Pain (2020 - in press) and this Review is posted in Recent Reviews, Low Back Pain and the 2020 Archive.
aapt clbp rrs