What is the recommended management for low back pain after an acute injury?

The recommended management for low back pain after an acute injury focuses on a combination of rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and gradual mobilization. This approach is based on evidence suggesting that while rest is important in the early stages, prolonged inactivity can lead to further complications and may prolong recovery.

The use of NSAIDs helps in alleviating pain and inflammation, allowing the patient to engage in light activities sooner rather than later. Gradual mobilization is crucial because it encourages movement, prevents stiffness, and promotes the healing process. Patients are usually encouraged to return to their normal activities as soon as it’s safely possible, as complete bed rest has been shown to be counterproductive in most cases.

Surgical intervention is typically not necessary unless there are specific complications such as evidence of significant neurological compromise or failure to improve with conservative management. Physical therapy may become a part of the overall management plan later on, but it’s not the sole focus immediately following an acute injury. Extended bed rest is considered detrimental, as it can lead to muscle atrophy and stiffness, ultimately delaying recovery.