Evidence Based Management of Acute Lumbar Disc Pain

2018 update: This information was originally for an assignment Alison did as part of the Masters of Pain Management.

We have updated the content and presented it as an infographic.


  • Australian Acute Musculoskeletal Pain Guidelines Group. (2003). Evidence based management of acute musculoskeletal pain. Accessed at: http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/cp94.pdf
  • Anichini, G., Landi, A., Caporlingua, F., Beer-Furlan, A., Brogna, C., Delfini, R., Passacantilli, E. (2015) Lumbar endoscopic microdiscectomy: Where are we now? An updated literature review focused on clinical outcome, complications and rate of recurrence. Biomedical Research International. Epub 2015 Nov 24.
  • Cohen, S., Hanling, S., Bicket, M., White, R., Veizi, E….et al. (2016). Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study. British Medical Journal. 350, h1748.
  • Goldberg, H., Firtch, W., Tyburski, M., Pressman, A., Ackerson, L…. et al. (2015). Oral steroids for acute radiculopathy due to a herniated lumbar disk: a randomized clinical trial. Journal of the American Medical Association, 19, 313(19), 1915-1923.
  • Kasimcan, O., & Kaptan, H.(2010). Efficacy of gabapentin for radiculopathy caused by lumbar spinal stenosis and lumbar disk hernia. Neurologica Medico- Chirurgica, 50,1070–3.
  • Kreiner, D., Hwang,S., Easa, J., Resnick, D., Baisden, J., ….. et al. (2014). An evidence based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. Spine Journal, 14(1), 180-91.
  • Koes, B., van Tulder, M., Chung-Wei, C., Luciana, M., McAuley, J., & Maher, C. (2010). An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. European Spine Journal, 19(12): 2075-2094.
  • Manchinkanti, L., Knezevic, N., Boswell, M., Kaye, A., & Hirsch, J. (2016). Epidural injections for lumbar radiculopathy and spinal stenosis: A comparative systematic review and meta-analysis. Pain Physician, 19(3):E365-410.
  • Nice Guideline (Draft): Low back pain and sciatica: management of low back pain and sciatica. Assessment and non invasive treatments. Feb 2016. https://www.nice.org.uk/guidance/GID-CGWAVE0681/documents/draft-guideline Up To Date: Approach to Acute Lumbosacral Radiculopathy. http://www.uptodate.com. Accessed 4/4/2010
  • Weinstein, J… et al. (2006). Surgical vs nonoperative treatment for lumbar disk herniation: The spine patient outcomes research trial (SPORT): A randomized trial. Journal of the American Medical Association, 296(20), 2441-2450.
  • Williams, C., Maher, C., Latimer, J., McLachlan, A., Hancock, M., Day, R., & Lin, C. (2014). Efficacy of paracetamol for acute low back pain: a double blind, randomized controlled trial. Lancet, 384(9954), 1586-96.