A Call for Differential Diagnosis of Non-Specific Low Back Pain To Reduce Opioid Abuse

Abstract

The vast majority of Americans experience low back pain at some point in their lives. For some, it is a fleeting nuisance that can be remedied with over-the-counter treatments, but others suffering from chronic low back pain require more advanced treatments, including opioids, biologics, or surgery. Studies have shown trends of overtreatment of chronic back pain, using opioids without a corresponding improvement in patient outcomes. This article examines the impact of misdiagnosis and improper treatment of chronic low back pain, taking a specific focus on the impact of inappropriate opioid treatment. It instructs practitioners to make a differential diagnosis and sets forth policy recommendations to ensure that practitioners are properly educated on this topic.