title: Practice guidelines for the management of low back pain. Consensus Group of Practice Parameters to Manage Low Back Pain.
abstract: It has been documented that pain in its diverse modalities is the most common cause of medical attention. In Mexico, an increase in its frequency has promoted its consideration in several health programs. On the other hand, inadequate pain management will cause severe physical, psychoaffective, and socioeconomic repercussions for patients, families, and public health services. Despite this panorama, there has not been an agreement to establish better diagnostic and therapeutic methods for the management of chronic pain. A consensus group was reunited and was integrated by medical experts from private and public institutions and from various states of the Mexican Republic. To assure the development of these practice guidelines, these experts had experience in the assessment and treatment of conditions causing pain. With the guidelines used by other consensus groups, meetings were held to analyze and discuss published literary evidence for the management of low back pain. The recommendations were classified according to their methodological strength. As a result of this meeting, consensus recommendations were based on evidence and operational conclusions of such proactive educational plans, institutional policies and diagnostic recommendations for pharmacological and nonpharmacological treatment in order for Mexican physicians to provide a better therapeutic approach to low back pain.
authors.affiliation: Dirección de Educación e Investigación en Salud, Unidad Médica de Alta Especialidad Dr. Victorio de la Fuente Narváez, Instituto Mexicano del Seguro Social, México, DF, Mexico. uriahguevara91@yahoo.com.mx
authors.forename: Uría
authors.initials: U
authors.lastname: Guevara-López
authors.forename: Alfredo
authors.initials: A
authors.lastname: Covarrubias-Gómez
authors.forename: Jorge
authors.initials: J
authors.lastname: Elías-Dib
authors.forename: Alejandro
authors.initials: A
authors.lastname: Reyes-Sánchez
authors.forename: Tatiana Sofía
authors.initials: TS
authors.lastname: Rodríguez-Reyna
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000534:rehabilitation / Q000601:surgery / Q000628:therapy*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009465:Neuromuscular Agents / Q000627:therapeutic use; D010147:Pain Measurement; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D012307:Risk Factors; D016540:Smoking Cessation; D055815:Young Adult
chemical_list: D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal; D009465:Neuromuscular Agents