The RCGP - Clinical and Special Projects, Clinical Guidelines, Acute Low Back Pain. Contents, Index page


Chapter 3

Principal Recommendations
Linked to Evidence

Diagnostic Triage
Use of X-Rays
Drug Therapy
Bed Rest
Advice on Staying Active
Back Exercises



Back Exercises


Recommendations Evidence

Back Exercises

Referral for reactivation/rehabilitation should be considered for patients who have not returned to ordinary activities and work by 6 weeks.
On the evidence available at present, it is doubtful that specific back exercises produce clinically significant improvement in acute low back pain, or that it is possible to select which patients will respond to which exercises.
There is some evidence that exercise programmes and physical reconditioning can improve pain and functional levels in patients with chronic low back pain.
There are theoretical arguments for commencing exercise programmes and physical reconditioning at around 6 weeks.


Back Pain Contents