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acceptable studies acute back pain acute LBP acute low back acute or recurrent advice on activity Advice on Staying AHCPR anaesthesia analgesics assessment Back schools baclofen cauda equina syndrome chronic low back Cochrane Collaboration CSAG daily activities days bed rest development group Diagnostic Triage diazepam diclofenac Epidural evidence review Evidence table factors for chronicity Health Service Executive Hoogen Ibuprofen injections Koes less chronic disability low back pain low back problems manipulation Muscle relaxants nerve root pain neurological NORMAL ACTIVITY NS dif NSAIDs ordinary activity pain and disability paracetamol Paracetamol-weak opioid compounds physical dependence Plain X-rays possible serious spinal Practitioners PRIMARY CARE MANAGEMENT programmes and physical Psychosocial factors randomised controlled trials RCGP recommendations recovery recurrent LBP red flags return to normal risk factors Royal College sciatica serious spinal pathology simple backache specific back exercises Staying Active steroids Strong opioids symptomatic measures symptoms systematic reviews Therapy treatment Tulder Waddell weeks X-rays