Table 1

The key principles of the ACI model of care for acute low back pain

Principle 1Assessment: history and examination
Principle 2Risk stratification
Principle 3Patient education
Principle 4Active physical therapy encouraged
Principle 5Begin with simple analgesic medicines
Principle 6Judicious use of complex medicines
Principle 7Cognitive behavioural approach
Principle 8Only image those with suspected serious spinal pathology
Principle 9Predetermined times for review
Principle 10Timely referral and access to specialist services