(English) Episode 256-The New Science of Lower Back Pain

The provided text outlines the 2024 clinical practice guidelines developed by the Royal Dutch Society for Physical Therapy (KNGF) for managing low back pain (LBP) and lumbosacral radicular syndrome (LRS). These evidence-based recommendations prioritize risk stratification, assigning patients to one of three profiles—low, moderate, or high risk—to determine the intensity of necessary care. The core treatment strategy emphasizes active interventions, including tailored exercise therapy, shared decision-making, and comprehensive patient education to discourage fear-avoidant behavior. While passive treatments like spinal mobilization or manipulation are considered, they are recommended only as adjuncts to active exercise programs. The guidelines aim to improve functional recovery and work resumption while providing a transparent framework for primary care clinicians. Furthermore, the text highlights the socioeconomic impact of back pain and the necessity of identifying prognostic factors to prevent long-term disability.Apeldoorn AT, Swart NM, Conijn D, Meerhoff GA, Ostelo RW. Management of low back pain and lumbosacral radicular syndrome: the Guideline of the Royal Dutch Society for Physical Therapy (KNGF). Eur J Phys Rehabil Med [Internet]. 2024;60(2):292–318. Available from: http://dx.doi.org/10.23736/S1973-9087.24.08352-7