Surgery — What You Need to Know
What Do Clinical Guidelines Recommend?
| Guideline | Country | Recommendation for nonspecific chronic low back pain |
|---|---|---|
| NICE | UK | "Should only be offered as part of a clinical trial" |
| ACP | US | Not included in recommended treatments. Non-drug therapies recommended first |
| JOA | Japan | Recommends careful patient selection |
A recent large UK survey of clinicians found that across case scenarios involving severe chronic low back pain, the vast majority chose conservative treatment as the first-line approach.