Seminars in Spine Surgery
Volume 21, Issue 4 , Pages 257-263, December 2009

Effective Conservative Treatment for Chronic Low Back Pain

  • James Rainville, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA
    • New England Baptist Hospital, Boston, MA
    • Corresponding Author InformationAddress reprint requests to James Rainville, MD, The Spine Center, New England Baptist Hospital, 125 Parker Hill Avenue, Boston, MA 02120
    • ,
  • Rosalyn Nguyen, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA
    • ,
  • Pradeep Suri, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA
    • New England Baptist Hospital, Boston, MA

Evidence suggests that effective conservative treatment is available for chronic low back pain (LBP). The effectiveness of conservative treatment has received attention following publication of several randomized controlled trials that reported similar improvements in outcomes from cognitive intervention with exercise as from spinal fusion surgery. This paper explores the conservative treatment arms of these randomized controlled trials with the goal of educating the reader about the principles of cognitive intervention with exercise. These principles can be incorporated into the care of chronic LBP patients both as primary treatment and as a means of augmenting surgical outcomes.

Keywords: low back pain, rehabilitation, exercise, physical therapy, cognitive behavioral treatment

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 Dr Suri is supported by the Rehabilitation Medicine Scientist Training K12 Program (RMSTP) and the National Institutes of Health (K12 HD 01097).

 None of the authors have any conflict of interest regarding the contents of this article.

PII: S1040-7383(09)00073-2

doi:10.1053/j.semss.2009.08.009

Seminars in Spine Surgery
Volume 21, Issue 4 , Pages 257-263, December 2009

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