New guidelines for treating low back pain

Best practice shifts away from paracetamol and NSAIDs

Changes to major international guidelines for the management of low back pain bring a fundamental shift in best practice, with a move away from medication as the go-to treatment.


Yoga, mindfulness and various types of physiotherapy and psychological therapies are some of the suggested options.

The guidelines consider that “most patients with acute or subacute low back pain improve over time regardless of treatment”, so clinicians should first select non-pharmacologic treatment with superficial heat, combined with exercise.

Other recommendations include: