ReviewDeutsches Arzteblatt international2016
Acute Lumbar Back Pain.
Review in Deutsches Arzteblatt international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 40 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Soft Ball Tissue Release Exercises on Low Back Pain Secondary to Tight Hip Muscles.
Confirmatory Efficacy and Safety Study of the Fixed-dose Combination of Etoricoxib / Tramadol Versus Acetaminophen / Tramadol for the Management of Acute Low Back Pain.
The Effect of Progressive Muscle Relaxation Exercises on Pain and Disability After Spinal Surgery
Who cites it
40 citing papers in PubMed, 98 citations in OpenAlex.
- The Effectiveness of Leech Therapy in Chronic Low Back Pain.Deutsches Arzteblatt international · 2018Trial
- Cardiopulmonary Exercise Testing Reveals Functional Limitations and Work Disability in Severe Post-COVID-19 and ME/CFS Patients.Sports medicine - open · 2026Article
- Diagnostic Utility of Red Flags for Detecting Spinal Malignancies in Patients with Low Back Pain: A Scoping Review.Journal of clinical medicine · 2025Review
- Therapeutic exercise following lumbar spine surgery: a narrative review.North American Spine Society journal · 2025Article
- Multimodal Web-Based Telerehabilitation for Patients With Post-COVID-19 Condition: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Resource-Oriented Case Management to Implement Recommendations for Patients With Chronic Pain and Frequent Use of Analgesics in General Practices (Project RELIEF): Protocol for a Single-Arm Exploratory Feasibility Study.JMIR research protocols · 2025Article
- Endoscopic Foraminotomy for the Treatment of Lumbar Neuro-Foramen Stenosis: Role of CT in Treatment Planning and Post-Operative Assessment.Life (Basel, Switzerland) · 2025Article
- Risk Factors and Successful Interventions for Cricket-Related Low Back Pain: An Updated Systematic Review.Cureus · 2025Review
- Article
- Acute back pain: Clinical and radiologic diagnosis: WFNS spine committee recommendations.World neurosurgery: X · 2024Review
- Review
- Article
- The Potency of Platelet-Rich Plasma for Chronic Low Back Pain: A Systematic Review and Metaanalysis of Randomized Controlled Trial.Asian spine journal · 2023Article
- Article
- Spondylodiscitis in Geriatric Patients: What Are the Issues?Global spine journal · 2023Article
- Associations between Deformation of the Thoracolumbar Fascia and Activation of the Erector Spinae and Multifidus Muscle in Patients with Acute Low Back Pain and Healthy Controls: A Matched Pair Case-Control Study.Life (Basel, Switzerland) · 2022Article
- [Minimally invasive arthrodesis of the sacroiliac joint (SIJ)].Operative Orthopadie und Traumatologie · 2022Review
- Effectiveness of Radial Extracorporeal Shockwave Therapy in Patients with Acute Low Back Pain-Randomized Controlled Trial.Journal of clinical medicine · 2021Article
- Classification and Automated Interpretation of Spinal Posture Data Using a Pathology-Independent Classifier and Explainable Artificial Intelligence (XAI).Sensors (Basel, Switzerland) · 2021Article
- [Treatment strategies for pathological fractures of the spine].Der Unfallchirurg · 2021Review
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBack pain has many causes. In Germany, about 70% of adults have at least one episode of back pain per year.
methodsThis review is based on a selective literature search and on the German National Disease Management Guideline for Low Back Pain.
resultsThe physician taking the history from a patient with back pain should ask about the nature, onset, course, localization, and radiation of the pain and its dependence on physical activity and/or emotional stress. In the differential diagnosis, neurologic deficits and any "red flags" suggesting dangerous conditions such as spinal fracture, bacterial infection, and tumors must be ruled out. If no specific cause of the pain can be identified, no imaging studies are indicated on initial presentation. The treatment of acute, nonspecific low back pain focuses on pain relief and functional improvement. Adequate patient education and counseling are essential. Exercise therapy is no more effective than the continuation of normal daily activities. Restriction of activity, including bed rest, is of no benefit and merely prolongs recovery and the resumption of normal activity. Further diagnostic testing is indicated if there is any suspicion of a fracture, infection, or tumor.
conclusionAfter dangerous conditions have been ruled out, low back pain can be pragmatically classified as either nonspecific or specific. More research is needed so that the diagnostic assessment and individualized treatment of acute lower back pain can be further refined.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.