Abstract
The 13th Annual Conference of The American Academy of Pain Medicine featured a plenary session entitled 'Controversies in the Treatment of Low Back Pain'. The panelists were Dr. Stanley Bigos, an orthopedic surgeon; Dr. Steven Baker, a chiropractor; Dr. Stephen Abram, an anesthesiologist; and Dr. Hubert Rosomoff, a neurological surgeon. No attempt was made to discuss all the controversies that surround this topic, but four subjects were selected that relate to the expertise of the speakers selected: Dr. Bigos presented the overview of the independent multidisciplinary panel of which he was Chair convened by the Agency For Health Care Policy and Research (AHCPR) to develop specific statements on acute low back problems in adults; Dr. Baker represented the role of chiropractic medicine in these disorders; Dr. Abram reviewed the place of interventional anesthesiology; and Dr. Rosomoff presented the non-surgical management of both acute and chronic low back disorders utilizing a rehabilitation, multidisciplinary model. Most of the emphasis from Drs. Bigos, Baker and Abram was on the management of acute pain, as compared to the issues of chronic low back pain.
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