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Parcours de soins pour les lombalgies

Date de la dernière mise à jour : février 2024

Diagnosis for Low Back Pain with Radiculopathy

Clinical Cornerstone:

  • In most cases of acute LBP, symptoms go away on their own and most people will recover well. However, for some people the symptoms will continue and turn into chronic pain.

Negative Prognostic Factors: Associated with a poorer outcome or longer duration of pain and disability. The presence of one or more of these factors does not necessarily mean that a patient will have a poor outcome, but they can be used to guide treatment and set realistic expectations.


1. Lifestyle-related factors: Smoking, obesity.

2. Baseline pain intensity: Higher initial pain levels.

3. Belief about pain duration: Patients who believe that their LBP will last a long time.


4. Psychological factors: Fear avoidance, anxiety, pessimistic expectations.

5. Younger age: Younger age has been identified as a prognostic variable in some studies.

6. Duration of symptoms: Chronic symptoms (lasting more than 12 weeks).


7. Presence of leg pain or sciatica


8. Work-related factors: Job dissatisfaction, heavy physical work demands, lack of job flexibility.


9. Previous episodes of low back pain


10. Depression: Mental health conditions like depression.

11. Functional impairment: Limitations in daily activities due to pain.

Conduct patient assessment

Red flags present

Red flags present

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Refer to appropriate emergency or healthcare provider

Non-specific LBP or LBP with radiculopathy:

  • Education

  • Self-care

  • Exercise

  • Manual therapy

  • Medicines

  • Psychological therapy

  • Social support

  • Mind-body interventions

  • Needling therapies, electrotherapies*

  • Mobility assistive devices

  • Multicomponent biopsychosocial care

  • Topical ceyenne pepper

Additionally for LBP with radiculopathy:

  • Medical/surgical consultations

Other specific LBP:

  • Refer to appropriate emergency or healthcare provider

Major symptom/sign change

Goals not achieved


Adjust treatment and management plan or refer

References or links to primary sources

Contact information for further inquiries or feedback


These care pathways are intended to provide information to practitioners who provide care to people with musculoskeletal conditions. The care pathways on this website are 'living' documents, reflecting the state of clinical practice and research evidence to our best knowledge at the time of development. As knowledge and healthcare practices evolve, these pathways may be updated to ensure they remain current and evidence driven. These pathways are not intended to replace advice from a qualified healthcare provider.

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