Full text and references are available in the pdf linked above.
- Avoid routine spinal imaging in the absence of clear clinical indicators for patients with acute low back pain of less than six (6) weeks duration.
- Do not perform repeat imaging to monitor patients’ progress.
- Avoid protracted use of passive or palliative physical therapeutic modalities for low-back pain disorders unless they support the goal(s) of an active treatment plan.
- Do not provide long-term pain management without a psychosocial screening or assessment.
- Do not prescribe lumbar supports or braces for the long-term treatment or prevention of low-back pain.
How The Recommendations Were Created
The American Chiropractic Association (ACA) utilized its Committee on Quality Assurance and Accountability (CQAA) to serve as an expert task force of doctors of chiropractic (DCs) to identify areas/items common to the practice of chiropractic for which recommendations were supported by clinical research and would result in high-value, cost-effective services and improved patient outcomes. A literature search was conducted and the task force collaboratively identified a draft list of six recommendations based upon established Choosing Wisely® criteria. The list was submitted to the ACA Board of Governors for initial review. After further refinement, the final list of five strategies was selected, submitted to and approved by the ACA Board of Governors.