first month of back pain, once worrisome causes like cancer or severe, progressive neurological conditions have been ruled out. ... Easing back pain can be frustrating and complex, in part because of its cyclical and multifaceted nature, physicians said.
In stark contrast to guidelines for managing routine back pain, doctors are increasing their use of diagnostic imaging, referrals and narcotics, while nonsteroidal anti-inflammatory drug or acetaminophen use has declined ... clinical guidelines alone
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