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This is a summary of the NHS Devon commissioning policy for Lumbar Spine Procedures – for simple lumbar back pain
This guidance is intended for simple lumbar back pain. It does not cover suspected malignancy, or nerve root compression
Patient presents with acute lumbar back pain:
Conservative treatment consisting of:
If pain continues:
If patient has not resumed usual activity levels after 3 months refer to specialist service which could include:
If patient has not resumed usual activity levels after multi-disciplinary treatment consider referral to specialist
Surgery for lumbar back pain should only be considered after the full range of primary care interventions has been used.
Referral for consideration of surgery should only occur if the patient fulfils the following criteria: