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Editorial: Do strong opioids have a role in the early management of back pain? Recommendations from a European expert panel: in Current Medical Research and Opinion(ISSN 0300-7995), vol 21, issue 11, pp 1819-1828
Helsinki university, Finland.
Northwick Park Hospital, Harrow, UK.
Medical college, Jagiellonian University, Krakow Poland.
Ashville Medical Centre, Barnsley, UK.
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2005 (English)Other (Other academic)
Abstract [en]

Background: Since chronic low back pain (CLBP) is a complex biopsychosocial problem the ideal treatment is multimodal and multidisciplinary. However, in many countries, primary-care physicians care for many people with CLBP and have a pivotal role in selecting patients for more intensive treatments when these are available. Guidelines on the general use of strong opioids in chronic non-cancer pain have been published but, until now, no specific guidelines were available on their use in chronic low back pain. Given the prevalence of CLBP, and the complex nature of this multifactorial condition, it was felt that specific, evidence-based recommendations, with a focus on primary-care treatment, would be helpful. Methods: An expert panel drawn from across Europe including pain specialists, anaesthetists, neurologists, rheumatologists, a general practitioner, an epidemiologist and the chairman of a pain charity was therefore convened. The aim of the group was to develop evidence-based recommendations that could be used as a framework for more specific guidelines to reflect local differences in the availability of specialist pain services and in the legal status and availability of strong opioids. Statements were based on published evidence (identified by a literature search) wherever possible, and supported by clinical experience when suitable evidence was lacking. Recommendations: Strong opioids have a role in the treatment of low back pain when other treatments have failed. They should be prescribed as part of a multimodal, and ideally interdisciplinary, treatment plan. The aim of treatment should be to relieve pain and facilitate rehabilitation.

Place, publisher, year, edition, pages
2005. Vol. 21, no 11, 1819-1828 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-37113DOI: 10.1185/030079905X65303Local ID: 33732OAI: diva2:257962
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2010-05-19

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Sörensen, Jan
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Faculty of Health SciencesRehabilitation MedicinePain and Rehabilitation Centre
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