Advice and education for spinal pain

What is the effect of advice/ education on pain and disability compared with placebo or no advice/ education?

Spinal pain is a leading cause of disease burden and years lived with disability worldwide. Disability and costs associated with chronic pain (of which spinal pain is the largest contributor) are predicted to increase from $139 billion to $215 billion by 2050 in Australia.

International guidelines for the management of spinal pain endorse advice as part of first-line treatment. Recommendations from most contemporary guidelines include the provision of advice to remain active and avoid bed rest, advice on self-management, and reassurance of the good prognosis. However, there are also differences between guideilnes so at present the optimal content for patient advice is unclear. 


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