Introduction: Chronic low back pain is one of the most common causes of early retirement, disability, and is also a major health burden for states in all areas. Chronic low back pain is described as pain with an episode over 12 weeks, localized below the ribs and above the lower gluteal muscle. As the majority of the population is exposed to at least one episode of low back pain, it is important to provide the most effective treatment to reduce the social, economical and mental burden. We have various conservative methods for treating the low back pain, but effectiveness of most of them has not been fully proven. Scientifically proven include forms of educational therapy, kinesiotherapy, and other multidisciplinary approaches. Forms of manual therapy, physical procedures, and orthotic care, are also considered as effective. Orthotics can be used to treat and alleviate the pain, or as a preventive method in preventing or recurring pain. Purpose: The purpose of our final work is to show the effectiveness of various conservative methods for the treatment of chronic low back pain. Methods: A systematic review of the professional literature was performed, with a descriptive research method. We limited ourselves to searching the literature between 2000 and 2020, written in Slovene or English language. Results: From the review of literature, we selected 7 clinical case studies and 5 meta-analyses, where the effect on pain reduction of the specific method was investigated. The articles differ from each other depending on the type of conservative therapy and on other investigated effects. In most cases, the authors didn't support the effectiveness oh the specific conservative method, but still confirmed the effects on reduction of pain, absenteeism, and improving functionality. Discussion and conclusion: From to review of the results it is impossible to choose the most effective method. Among the most effective standard classical care, only rigid lumbosacral orthosis and manual therapy have shown the results and stood out. Both methods can be confirmed as an effective substitute and a useful adjunct to other methods of treatment. Other treatments have been shown to have beneficial effects, but not enough for scientific claims. In the process of final work, we covered a too wide range of treatment methods, which is why we are unable to confirm the most appropriate method. For further research, it would be appropriate to select one method and check its effectiveness in all variations. We are aware that the onset of pain requires an individual approach and a holistic view of the patient. Only when we learn how to live with the chronic pain, we are able to successfully heal it.
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