• Early Physical Therapy for LBP: The Low Back Pain Solution for Early Reduced Pain and Opioids; for Healthcare Savings

  • Low Back Pain Solution

    A Duke University Medical School study, published Jan 2019, reviewed multiple studies of early LBP intervention, including the impact of the timing of when physical therapy is initiated.

    Key Findings

    Early Physical Therapy for acute LBP should be within the first 30 days; this was found to significantly reduce opioid pain medicine use, spine injections, and spine surgery.

    In addition, physical therapy within the first 30 days significantly reduces further healthcare utilization, total healthcare costs, and shows signs of improved healthcare efficiency.


    The Duke University researchers recommend that the public, healthcare primary care providers, healthcare systems, and 3rd party payers take this study into consideration when making policies/decisions for establishing the most effective protocols in the treatment of acute LBP.

    Legacy Therapy and Wellness welcomes and efficiently manages rapid work-in referrals for acute LBP.

    Legacy Therapy and Wellness provides self-insured employers and payer networks efficient LBP protocol development, industrial site ergonomics, injury prevention screening/training, and health education.


    Arnold E et al. The Impact of Timing of Physical Therapy for Acute Low Back Pain on Health Services Utilization: A Systematic Review. Arch Phys Med Rehabil. 2019 Jan 23. pii: S0003-9993(19)30010-3. doi: 10.1016/j.apmr.2018.11.025. [Epub ahead of print] PMID: 30684490