LBP Best practice and Current Evidence
Twitter thread summarising Professor Nadine Foster's presentation from the Nordic Back Pain Seminar/Webinar highlighting the @TheLancet #LowBackPain series paper 2: @pain_eddotcom @KeelePain @KeeleUniversity @CurtinUni
![](https://pbs.twimg.com/media/EIw6PwXUYAQ4G7r.png)
Overlaps with Prof @RachelleBuchbin der's presentation.
Much of modern back pain care is ineffective and/or harmful.
![](https://pbs.twimg.com/media/EIw6QhIUEAA11Ph.jpg)
BEST PRACTICE: Non-Pharma
Routinely use as first line treatment:
✅Exercise therapy and Cognitive Behavioural therapy (#CBT)
❓Everything else on this picture second-line treatment or there is insufficient evidence
![](https://pbs.twimg.com/media/EIw6R7qUEAACcYi.jpg)
NEW DIRECTIONS: Public health and Mass media:
Key messages are SPOT ON, why isn't this stuff still being pushed @GregHuntMP? it was proven effective as you'll see in next tweet. @DrChrisBarton
![](https://pbs.twimg.com/media/EIw6VLiU8AE1n4j.jpg)
We need to be efficient.
Good example is work by @DrJonathanHill and others at @KeelePain @KeeleUniversity - STarT Back stratified care model which changed healthcare practice and improved cost-effectiveness.
![](https://pbs.twimg.com/media/EIw6ZXQVUAA_wCQ.jpg)
Key messages
💡Try to implement one of these in your clinical practice, and let me know how you go👊
Good people to follow are:
@PeteOSullivanPT @jpcaneiro @kieranosull @MaryOKeeffe007 @TrustmePhysio @PhysioNetwork @BrendanMouatt and many more I can't think of right now!
![](https://pbs.twimg.com/media/EIw6bQ6UUAAAwgN.jpg)