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)

Systemic Steroids (AHCPR 1994)

The limited available evidence suggests that oral steroids are not effective for acute low back problems. (C)
Serious potential complications are associated with long-term use, but potential complications appear minimal with short-term use. (D)
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