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Clinical PracticeFree Preview

Nonspecific Low Back Pain

List of authors.
  • Alessandro Chiarotto, P.T., Ph.D.,
  • and Bart W. Koes, Ph.D.

Nonspecific low back pain is diagnosed by ruling out other causes, usually by means of history taking and physical examination; imaging is not routinely indicated. Patients with acute nonspecific low back pain should receive education about the condition and advice to remain active; most recover within weeks. Exercise therapy and behavioral therapy are recommended for chronic low back pain.

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Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

Author Affiliations

From the Department of General Practice, Erasmus University Medical Center, Rotterdam (A.C., B.W.K.), and the Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam (A.C.) — both in the Netherlands; and the Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense (B.W.K.).

Dr. Chiarotto can be contacted at or at the Department of General Practice, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.

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