What nonpharmacologic strategy is advisable for managing chronic low back pain?

The recommendation of initial walking and exercise therapy as a nonpharmacologic strategy for managing chronic low back pain is supported by a substantial body of evidence demonstrating its effectiveness in improving functional outcomes and reducing pain. Engaging in regular physical activity helps to strengthen the core muscles that support the spine, improves flexibility, and enhances overall physical fitness. Such activity also plays a crucial role in psychological well-being, combating feelings of anxiety or depression that often accompany chronic pain conditions.

In contrast, extended-release opioids, ibuprofen, and immediate opioid treatment are all pharmacologic approaches that, although they may provide temporary relief, are not considered first-line strategies for chronic pain management due to concerns about dependency, side effects, and the potential for long-term complications. Therefore, incorporating exercise and walking as part of a comprehensive treatment plan is not only safer but also promotes long-term recovery and quality of life for individuals suffering from chronic low back pain.