Table 4 Common rationales for recommendations
From: Integrative care for the management of low back pain: use of a clinical care pathway
Modality | Common Rationales |
|---|---|
Exercise | • Objective biomechanical testing suggest need for |
|  |    - strengthening, endurance training |
|  |    - increased flexibility |
|  | • Fear of movement or activity |
Self Care Education | • Aggravating factors could be addressed with |
|  |    - ergonomics |
|  |    - activity modification |
Acupuncture & Oriental Medicine | • Stimulate flow of energy (qi) to decrease pain |
|  | • Presentation fits classic Oriental medicine pattern |
Massage | • Tight muscles noted on exam/history |
|  | • Benefit from a touch therapy; stress reliever |
Chiropractic | • Reduce pain |
|  | • Increase joint range of motion |
Cognitive Behavioral Therapy | • Need skills for relaxation or activity scheduling to manage pain |
|  | • Address fear of movement |
Medication | • Pain management |
|  | • Review current medication |