Chronic Low Back Pain

Authors

Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

Books to reference

• Acute & Chronic LBP CPG - George et al.¹
• Bonicas CHAPTER 73 Chronic Low Back Pain²
• Bonicas CHAPTER 74 Surgery for Low Back Pain²

Chronic Low Back Pain (No radiating sx)

Therex

• Grade A¹

Some of the exercises that were given a grade of A include:

• MM strengthening & endurance¹
• Multimodal exercise¹
• Specific trunk mm activation → coordination, strength, endurance¹
• Aerobic¹
• Aquatic¹
• General¹

Chronic Low back Pain + Leg sx

Defined by George et al., as back pain lasting more than 6 weeks with associated buttock and/or leg pain¹.

Rehab goals

• Centralize symptoms¹
• Reduce Pain¹
• Reduce Disability¹

References

1.

George SZ, Fritz JM, Silfies SP, et al. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy. 2021;51(11):CPG1-CPG60. doi:10.2519/jospt.2021.0304

2.

Ballantyne J, Fishman S, Rathmell JP, eds. Bonica’s Management of Pain. 5th ed. Wolters Kluwer; 2019.