An Integrative, Non-Pharmacological Pain Management Approach In Severe Lumbar Spine Degeneration: A Case Report.

Current literature regarding the management of CLBP highlights the efficacy of a methodical multi-disciplinary approach that includes aspects of medical, psychological, physical, and interventional approaches. Numerous organizational clinical practice guidelines exist to assist care teams in managing CLBP. However, the absence of a standardized approach coupled with the limited capacity of many health systems to support various treatment options, poses significant challenges for both providers and patients. This case report aims to address the advantages of an individualized approach to help navigate the complexity of CLBP management, particularly when pharmacological or surgical therapies are not preferred. Through this approach, we highlight the importance of individualized assessments and open dialogue to set mutually agreed upon treatment goals and protocols to enhance patient satisfaction and outcomes. Our report highlights the need for further longitudinal studies to assess the efficacy of long-term treatments for CLBP even in cases where radiographic findings indicate worsening spinal degeneration. It also implores for further clinical trials to investigate non-pharmacological and non-surgical management options for CLBP. Additionally, we call to action for enhancement of clinical practice guidelines to develop systematic tools for broadening multidisciplinary referrals to improve care.