• Ebunoluwa O Falope and Susan J Appel.
• Medstar Georgetown University Hospital, Washington, DC.
• J Am Assoc Nurse Pract. 2015 May 1; 27 (5): 270-9.

PurposePain can be debilitating, and it is often inadequately treated, particularly among patients with chronic low back pain (CLBP). CLBP has a substantial economic impact, as it affects an individual's ability to perform activities of daily living and maintain employment. This study aims to review original studies related to the evidence-based management of patients with CLBP to develop an algorithm for prescribing medications and recommending other treatment modalities for patients with CLBP.Data SourcesAn electronic search of PubMed, CINAHL, and the Cochrane Database was conducted to identify studies related to the evidence-based management of CLBP that were performed between 2003 and 2012. The following keywords were used: low back pain, back pain, chronic back pain, medication management, and adjunct therapy. The selected articles were specific to CLBP, medication-based management, and additional treatment options, such as adjunct therapies.ConclusionsThe collected data revealed that there are a number of approaches to the management of CLBP. Medication regimens are frequently used and widely available, but alternative treatment modalities can also be effective.Implications For PracticeProviders should encourage patients to explore a variety of treatment modalities that can provide pain relief and improve functionality and overall well-being.©2014 American Association of Nurse Practitioners.

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