Care management options often used for treating chronic low back pain.
| 1. Avoidance of activities that aggravate pain |
| 2. Trial of chiropractic manipulation |
| 3. Trial of physical therapy |
| 4. Cognitive support and recovery reassurance |
| 5. Spine biomechanics education |
| 6. Specific lumbar exercise program |
| 7. Home use of heat/cold modalities |
| 8. Low-impact aerobic exercise as tolerated |
| 9. Pharmacotherapy (eg, non-narcotic analgesics and nonsteroidal anti-inflammatory drugs) |
| 10. Spinal injections (eg, epidural steroid injections, medial branch blocks, and facet injections) and/or facet ablations |