Low back pain (LBP) is one of the most common presentations in primary healthcare. It is a complex condition with a multifactorial aetiology, which perhaps explains why there is a lack of strong clear evidence for effective treatment protocols. The treatment-based classification (TBC) system is one of several models that classify LBP patients into subgroups in order to tailor treatment more appropriately, which seems to yield improved outcomes. This article reviews the evidence available, the TBC system and treatment recommendations. With explanatory videos, links to current research results and patient exercise leaflets, this article will allow you to better understand and more effectively treat your LBP patients. Register below to read the key points for this article
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Kathryn Thomas (BSc Physio, MPhil Sports Physiotherapy) is a physiotherapist with a Masters degree in Sports Physiotherapy from the Institute of Sports Science and University of Cape Town, South Africa. She graduated both her honours and Masters degrees Cum Laude, and with Deans awards. After graduating in 2000 Kathryn worked in sports practices focusing on musculoskeletal injuries and rehabilitation. She was contracted to work with the Dolphins Cricket team (county/provincial team) and The Sharks rugby teams (Super rugby). Kathryn has also worked and supervised physios at the annual Comrades Marathon and Amashova cycle races for many years. She has worked with elite athletes from different sporting disciplines such as hockey, athletics, swimming and tennis. She was a competitive athlete holding national and provincial colours for swimming, biathlon, athletics, and surf lifesaving, and has a passion for sports and exercise physiology. She has presented research at the annual American College of Sports Medicine congress in Baltimore, and at The South African Sports Medicine Association in 2000 and 2011. She is Co-Kinetic’s technical editor and has taken on responsibility for writing our new clinical review updates for practitioners.
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