Concerning the procedural quality of clinical practice guidelines, partial progress was noted. Among lately published/revised clinical guidelines for chronic low back pain management in primary medical care, only a few were believed to have high-quality evidence.

The recommendations for the management of chronic low back pain management in primary care keeping in view the high-quality and up-to-date clinical practice guidelines have been reviewed in this study.

Database search included exploring the PubMed, EMBASE, PEDro, Google Scholar, CINHAL, Government and Scientific Association websites. Three investigators screened the documents as per the inclusion criteria. The retrieved documents were reviewed via Appraisal of Guidelines, Research and Evaluation (AGREE) instrument.

Ten Clinical practice Guidelines fulfilled the inclusion criteria out of 3055 records. These guidelines had moderately variable quality. Four clinical practice guidelines were regarded as "excellent" and then they were extracted and briefed. Due to incomplete indexing or publication bias, some practice guidelines may be absent. As noted, physicians should be aware that among the recently published/updated guidelines, only a few were found to have high quality.

Increasing evidence recommends the efficacy of self-management for improving low back pain outcomes. Physical therapies are suggested for better low back pain outcomes while many physical modalities like laser therapy, transcutaneous electrical nerve stimulation, and ultrasound are not suggested. Psychological therapies are suggested and should be incorporated as part of a broader therapeutic plan.

Various AGREE II domains portrayed low scores. Especially the "applicability" and "monitoring and auditing criteria" were the most vulnerable domains to alterations in the future.