People with LBP who haven't responded to appropriate primary care are considered for multidisciplinary and/or interdisciplinary rehabilitation programs.
Maher, C., Underwood, M. and Buchbinder, R., 2017. Non-specific low back pain. The Lancet, 389(10070), pp.736-747.
NHMRC Australian Acute Musculoskeletal Pain Guidelines Group 2003. Evidence-based Management of Acute Musculoskeletal Pain. Available at: https://www.nhmrc.gov.au/
Multi-Disciplinary Treatment in the Workplace — There are no controlled studies on the
effect of multi-disciplinary treatment in the workplace in acute low back pain.
Multi-disciplinary treatment in the workplace improves return to work and subjective disability compared to usual care in mixed populations with low back pain.
TOP 2015. Toward Optimised Practice - Evidence-Informed Primary Care Management of Low Back Pain: Clinical Practice Guidelines. 3rd Edition. December 2015. Institute of Health Economics, Alberta, Canada.
Encourage early return to work. Refer workers with low back pain beyond six weeks to a comprehensive return-to-work rehabilitation program. Effective programs are typically multidisciplinary and involve case management, education about keeping active, psychological or behavioural treatment, and participation in an exercise program. Working despite some residual discomfort poses no threat and will not harm patients.
Low Back Pain: Medical Treatment Guidelines. July 2007. Department of Labor and Employment, State of Colorado, USA.
INTERDISCIPLINARY REHABILITATION PROGRAMS: This is the gold standard of treatment for individuals with low back pain who have not responded to less intensive modes of treatment. There is good evidence that interdisciplinary programs which include screening for psychological issues, identification of fear-avoidance beliefs and treatment barriers, and establishment of individual functional and work goals will improve function and decrease disability. These programs should assess the impact of pain and suffering on the patient’s medical, physical, psychological, social, and/or vocational functioning.