Enhancing the health of Canadians by fostering excellence in chiropractic care

Adults with non-specific low back pain

Conduct an appropriate clinical evaluation

Risk factors for serious pathologies?

Other conditions?

Poor prognostic factors?

Offer information on nature, management, course of low back pain as a framework for initiation of a program of care

Is treatment required?

Are symptoms ≤3 months?

Management of Symptoms

Based on shared decision making between the patient and provider, any one of the following therapeutic interventions is recommended:

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Refer to appropriate services

Go to appropriate clinical care pathways and co-manage

Discharge

Are symptoms >3 months?

Management of Symptoms

Based on shared decision making between the patient and provider, any one of the following therapeutic interventions is recommended:

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Adjust modifiable prognostic factors

Is the person recovered after 3 months?

Discharge

Is the person recovered?

1. Incomplete recovery: Initiate persistent protocol 

2. Signs of lumbar disc herniation with radiculopathy: refer to appropriate care pathway

3. Major symptom change (new or worsening physical, mental or psychological symptoms): refer to physician

1. Incomplete recovery: Refer to physician

2. Signs of lumbar disc herniation with radiculopathy: refer to appropriate care pathway

3. Major symptom change (new or worsening physical, mental or psychological symptoms): refer to physician