User:Youhanna1111/sandbox/lowbackpain

Existing text: Initial management with non-medication based treatments is recommended. NSAIDs are recommended if these are not sufficiently effective. Normal activity should be continued as much as the pain allows. A number of other options are available for those who do not improve with usual treatment. Opioids may be useful if simple pain medications are not enough, but they are not generally recommended due to side effects.

Suggested text: Initial management with non-medication based treatments is recommended. Non-medication based treatments include acupuncture, spinal manipulation, superficial heat and massage for short-term pain (less than 6 weeks), or exercise alongside acupuncture, spinal manipulation, tai chi, yoga, CBT or mindfulness-basedstress-reduction for long-term pain (more than 12 weeks). NSAIDs are recommended if these are not sufficiently effective, as are muscle relaxants for short-term pain. Normal activity should be continued as much as the pain allows. A number of other options are available for those who do not improve with usual treatment. Opioids may be useful if other non-medication and medication-based treatments have failed, but they are not generally recommended due to side effects.

Suggest subheadings under treatments as recommendations differ between acute & chronic back pain

Acute or subacute low back pain
Non-pharmacologic treatments include with superficial heat, massage, acupuncture, or spinal manipulation.

Pharmacologic treatments include non-steroidal anti-inflammatory drugs (NSAIDS or skeletal muscle relaxants.

Chronic low back pain
Non-pharmacologic treatments are recommended for the treatment of low back pain along with exercise. Non-pharmacologic Treatments may include multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction, tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy (CBT), or spinal manipulation.

Pharmacologic treatment is only recommended if non-pharmacologic therapy does not improve the low back pain sufficiently. Such treatments include non-steroidal anti-inflammatory drugs (NSAIDS) as first-line therapy, or tramadol or duloxetine as second-line therapy. Opioids are not considered as an option unless all other treatments have failed to relieve the low back pain sufficiently, and then only if the potential benefits outweigh the substantial risks of addiction and overdose.

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End of Intro
Approximately 9–12% of people (632 million) 8% of people (577 million) have LBP at any given point in time, and nearly 25% report having it at some point over any one-month period. About 40% of people have LBP at some point in their lives, with estimates as high as 80% among people in the developed world. Difficulty most often begins between 20 and 40 years of age. Men and women are equally affected. Low back pain is more common among people aged between 40 and 80 years, with the overall number of individuals affected expected to increase as the population ages.