JUNE 10-14, 2019   •  Las Vegas, NV
Navigating the Full Spectrum of Case Management • Mirage Convention Center

PP113 – Clinical Practice Guideline: Diagnosis/Treatment of Low Back Pain

PP113 – Clinical Practice Guideline: Diagnosis/Treatment of Low Back Pain

Case Managers play an important role in facilitating patient care needs to include those patients who suffer from low back pain. Low Back Pain (LBP) is one of the most frequently experienced medical conditions in the general population, with up to 84% of adults in the United States experiencing LBP. The estimated spending related to LBP has an increase of $57.2 billion over the past 18 years. Since the release of the U.S. Department of Veterans Affairs (VA) and Department of Defense (DoD) (2007) Clinical Practice Guideline (CPG) for the Diagnosis and Treatment of Low Back Pain), a growing body of research has expanded the general knowledge and understanding of LBP. Improved recognition of the complexities of this condition has led to the adoption of new strategies for diagnosis and treatment of patients with LBP. The VA/DoD CPG for the Diagnosis and Treatment of Low Back Pain Version 2.0 was released in Sep 2017 to provide health care providers with a framework by which to diagnosis, treat, and manage the needs of patients with LBP. The revised CPG incorporates objective, evidence-based recommendations from the VA/DoD Management of LBP Work Group.
This presentation will briefly review the purpose of a CPG and discuss the CPG key recommendations. In addition, the presentation will focus on the importance of patient-centered treatment planning and shared decision-making; education and self-care; non-pharmacologic and non-invasive therapy and pharmacology treatment recommendations. The presentation will conclude by identifying the additional clinical support tools available for providers, patients, and family members to help attendees implement these evidence-informed recommendations in their practice. 


1. Discuss the patient centered shared decision making approach to diagnosis and the evidence based treatment methods for low back pain

2. Discuss the reasons why you should not to use radiology exams such as xray, ct scan or MRI the patient with low back pain

3. Describe the algorithm of appropriate interventions to improve the patient outcomes and reduce practice variations