[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-563770-105":53,"doc-detail-563770-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","low-back-pain-clinical-practice-guidelines","Low Back Pain - Clinical Practice Guidelines","","Low Back Pain: Clinical Practice Guidelines provides evidence-informed recommendations for diagnosing, classifying, and managing low back pain using impairment/function-based concepts. The guideline links clinical practice to the International Classification of Functioning, Disability, and Health (ICF) and relevant ICD categories, outlining clinical course concepts (acute, subacute, recurrent, chronic). It specifies risk factor considerations, differential diagnosis triggers for serious medical or psychosocial pathology, and standardized outcome measures using validated self-report tools to support clinical decision-making.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/low-back-pain-clinical-practice-guidelines/563770/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/low-back-pain-clinical-practice-guidelines/563770.png","ImageObject",442,249,{"name":88,"@type":89},"Sophia Brooks","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-28","2026-10-12",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What do the guidelines say about the cause of initial low back pain episodes?","Question",{"text":108,"@type":109},"Current literature does not support a definitive cause for initial episodes of low back pain. Risk factors are multifactorial, population specific, and only weakly associated with development of low back pain.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How is the clinical course of low back pain described?",{"text":113,"@type":109},"The clinical course can be described as acute, subacute, recurrent, or chronic. Clinicians are encouraged to prioritize interventions to prevent recurrences and the transition to chronic low back pain.",{"name":115,"@type":106,"acceptedAnswer":116},"Which tools are recommended for examination and outcome measures?",{"text":117,"@type":109},"Clinicians should use validated self-report questionnaires, including the Oswestry Disability Index and the Roland-Morris Disability Questionnaire, to identify baseline status relative to pain and function.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},563770,1792092731,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},962084925636,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Clinical Guidelines  \nANTHONY DELITTO, PT, PhD • STEVEN Z. GEORGE, PT, PhD • LINDA VAN DILLEN, PT, PhD • JULIE M. WHITMAN, PT, DSc GWENDOLYN SOWA, MD, PhD • PAUL SHEKELLE, MD, PhD • THOMAS R. DENNINGER, DPT • JOSEPH J. GODGES, DPT, MA  \nLow Back Pain  \nClinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Healthfrom the Orthopaedic Section of the American Physical Therapy Association  \nJ Orthop Sports Phys Ther. 2012;42(4):A1-A57. doi:10.2519/jospt.2012.0301  \nRECOMMENDATIONS ................................................... A2  \nINTRODUCTION............................................................ A3  \nMETHODS ................................................................... A4  \nCLINICAL GUIDELINES:  \nImpairment/Function-Based Diagnosis ................. A11  \nCLINICAL GUIDELINES:  \nExaminations.......................................................... A21  \nCLINICAL GUIDELINES:  \nIntervention ............................................................ A31  \nSUMMARY OF RECOMMENDATIONS ............................. A44  \nAUTHOR/REVIEWER AFFILIATIONS AND CONTACTS ...... A47  \nREFERENCES ............................................................. A48  \nCONTRIBUTORS: Jason M. Beneciuk, DPT • Mark D. Bishop, PT, PhD  \nChristopher D. Kramer, DPT • William Koch, DPT • Mark Shepherd, DPT  \nREVIEWERS: J. Haxby Abbott, MScPT, PhD • Roy D. Altman, MD • Matthew Briggs, DPT • David Butler, BPhty, GDAMT, MAppSc, EdD Joseph P Farrell, DPT, MAppSci • Amanda Ferland, DPT • Helene Fearon, PT • Julie M. Fritz, PT, PhD • Joy MacDermid, PT, PhD James W. Matheson, DPT • Philip McClure, PT, PhD • Stuart M. McGill, PhD • Leslie Torburn, DPT • Mark Werneke, PT, MS  \nFor author, coordinator, contributor, and reviewer affiliations, see end of text. ©2012 Orthopaedic Section, American Physical Therapy Association (APTA), Inc, and the Journal of Orthopaedic & Sports Physical Therapy. The Orthopaedic Section, APTA, Inc, and the Journal of Orthopaedic & Sports Physical Therapy consent to reproducing and distributing this guideline for educational purposes. Address correspondence to: Joseph Godges, DPT, ICF Practice Guidelines Coordinator, Orthopaedic Section,  \nAPTA, Inc, 2920 East Avenue South, Suite 200, La Crosse, WI 54601. E-mail: [icf@orthopt.org](icf@orthopt.org)  \nLow Back Pain: Clinical Practice Guidelines  \n\n| Recommendations* |  |\n| --- | --- |\n| RISK FACTORS: Current literature does not support a definitive cause for initial episodes of low back pain. Risk factors are multifactorial, population specific, and only weakly associated with the development of low back pain. (Recommendation based on moderate evidence.)\u003Cbr>CLINICAL COURSE: The clinical course of low back pain can be described as acute, subacute, recurrent, or chronic. Given the high prevalence of recurrent and chronic low back pain and the associated costs, clinicians should place high priority on interventions that prevent (1) recurrences and (2) the transition to chronic low back pain. (Recommendation based on theoretical/foundational evidence.)\u003Cbr>DIAGNOSIS/CLASSIFICATION: Low back pain, without symptoms or signs of serious medical or psychological conditions, associated with clinical findings of (1) mobility impairment in the thoracic, lumbar, or sacroiliac regions,(2) referred or radiating pain into a lower extremity, and (3) generalized pain , is useful for classifying a patient with low back pain into the following International Statistical Classification of Diseases and Related Health Problems (ICD) categories: low back pain, lumbago, lumbosacral segmental/somatic dysfunction, low back strain, spinal instabilities, flatback syndrome, lumbago due to displacement of intervertebral disc, lumbago with sciatica, and the associated International Classification of Functioning, Disability, and Health (ICF) impairment-based category of low back pain (b28013 Pain in back, b28018 Pain in body part, specified as pain in buttock, ","cbCaiqDeZFJZ9AmY","https://ap.wps.com/l/cbCaiqDeZFJZ9AmY","pdf",6502023,58,"English","# Recommendations\n## Risk Factors\n## Clinical Course\n## Diagnosis/Classification\n## Differential Diagnosis\n## Examination - Outcome Measures","[{\"question\":\"What do the guidelines say about the cause of initial low back pain episodes?\",\"answer\":\"Current literature does not support a definitive cause for initial episodes of low back pain. Risk factors are multifactorial, population specific, and only weakly associated with development of low back pain.\"},{\"question\":\"How is the clinical course of low back pain described?\",\"answer\":\"The clinical course can be described as acute, subacute, recurrent, or chronic. Clinicians are encouraged to prioritize interventions to prevent recurrences and the transition to chronic low back pain.\"},{\"question\":\"Which tools are recommended for examination and outcome measures?\",\"answer\":\"Clinicians should use validated self-report questionnaires, including the Oswestry Disability Index and the Roland-Morris Disability Questionnaire, to identify baseline status relative to pain and function.\"}]","Low Back Pain - Clinical Practice Guidelines | PDF",1791838224,20]