Protocol for lower back pain management: Insights from the French healthcare system

doi:10.12998/wjcc.v12.i11.1875

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Apr 16, 2024 (publication date) through Jun 10, 2024

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Apr 16, 2024; 12(11): 1875-1880
Published online Apr 16, 2024. doi: 10.12998/wjcc.v12.i11.1875

Protocol for lower back pain management: Insights from the French healthcare system

Lea Evangeline Boyer, Mathieu Boudier-Revéret, Min Cheol Chang

Lea Evangeline Boyer, Department of Physical Medicine and Rehabilitation, CHU de la Réunion, Reunion Island CIC 1410, France

Mathieu Boudier-Revéret, Department of Rehabilitation Medicine, University of Montreal Health Center, Montreal, QC H2X 3E4, Canada

Min Cheol Chang, Department of Physical Medicine and Rehabilitation, Yeungnam University Hospital, Daegu 705-717, South Korea

Author contributions: Boyer LE, Boudier-Revéret M and Chang MC designed the study, performed the study, analyzed the data, wrote the manuscript, read and approved the final manuscript.

Supported by The National Research Foundation of Korea Grant funded by the Korea Government, No. 00219725.

Conflict-of-interest statement: The authors report no relevant conflicts of interest for this article.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Min Cheol Chang, MD, Professor, Department of Physical Medicine and Rehabilitation, Yeungnam University Hospital, Daemyungdong, Namku, Daegu 705-717, South Korea. wheel633@gmail.com

Received: February 9, 2024
Peer-review started: February 9, 2024
First decision: March 2, 2024
Revised: March 5, 2024
Accepted: March 22, 2024
Article in press: March 22, 2024
Published online: April 16, 2024

Core Tip

Core Tip: The treatment algorithm for low back pain in France, recommended by the French National Authority for Health, prioritizes early patient activity and minimal medication use. While it promotes daily function and non-pharmacological therapies for chronic cases, it may not adequately address acute pain, relying heavily on caudal epidural steroid injections. The fixed follow-up timeline may also hinder exploring alternative therapies for non-responsive or intensely painful cases. Despite these limitations, understanding the strengths and weaknesses of this approach could inform global adaptations, potentially improving patient outcomes and satisfaction across diverse healthcare systems.