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


Chapter 2

Evidence Review

There is evidence against the following treatments

Narcotics for more than two weeks (CSAG 1994)

Benzodiazepines (diazepam) for more than two weeks (CSAG 1994)

Colchicine (AHCPR 1994)

Systemic Steroids (AHCPR 1994)

Bed rest with traction (CSAG 1994)

Manipulation under general anaesthesia (CSAG 1994)

Plaster jacket (CSAG 1994)

There is no evidence that these treatments are of any benefit for low back pain or sciatica.
In every case there are simpler and safer alternatives.
They are all associated with potential hazards or complications.

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