Low Back Pain
Yoga was deemed noninferior to physical therapy for the treatment of patients with chronic low back pain.
Patients with low back pain who are depressed are more likely to be prescribed opioids, and to be prescribed higher doses.
Radiofrequency denervation improved chronic low back pain arising from the facet joints.
Long-term, clinically important improvement in chronic low back pain can be achieved with lumbar total disc replacement and multidisciplinary rehabilitation in patients whose low back pain does not respond to conservative therapy.
Repeated magnetic resonance imaging for chronic spine pain does not impact occurrence of surgical treatment or interval changes.
Spinal manipulative therapy is associated with moderate improvements in pain and function in patients with acute low back pain.
Clobazam is more effective than placebo in reducing low back pain.
A novel method of short-term percutaneous peripheral nerve stimulation is useful for producing pain relief and reducing medication use among patients with chronic low back pain.
Spinal cord stimulation using precision approach via 3D neural targeting shows superior efficacy in treating chronic axial low back pain compared with a traditional approach relying on a trial-and-error method to achieve desired paresthesia.
Psychosocial variables such as depression and anxiety predict the response to morphine analgesia in patients with low back pain.
Early use of physical therapy for new low back pain in older adults is not associated with less subsequent back pain-specific health care utilization.
The ACP developed the guideline from randomized, controlled trials and systematic reviews published through April 2015 that focused on noninvasive pharmacologic and nonpharmacologic treatments for low back pain.
For patients with acute low back pain, the combination of diazepam plus naproxen does not improve functional outcomes or pain compared with naproxen use alone.
For individuals presenting with a primary complaint of mechanical LBP, prescriptive treatment of the hips seems beneficial, in addition to treatment of the lumbar spine.
Weather conditions generally do not influence pain.
Obesity-related measures are not associated with the risk of developing chronic low-back pain.
Yoga only led to moderate improvements compared with exercise or no exercise interventions in patients with low back pain.
The benefit-risk profile of oxycodone/naloxone was found to be noninferior compared to tapentadol, and oxycodone/naloxone demonstrated superior analgesic efficacy.
"The intra-articular PRP injection is an effective treatment modality in low back pain involving SIJ," the authors write.
According to Dr Mackey, successful enactment of the NPS will allow clinicians to "treat chronic pain as the chronic disease [they] know it to be, and as the public health crisis that [they] know it is."
"Ultimately, the goal is to turn our clinics into research laboratories where every single patient is characterized," noted Dr Mackey.
Results showed a significant link between serum vitamin C concentrations and the prevalence of low back pain.
Researchers identified patterns of opioid and NSAID use among patients with low back pain.
Meditation has been found to compare favorably to other types of therapy for low back pain.
Neither manipulation nor functional therapy affects pain, quality of life, or spinal mobility.
While maintaining an acceptable level of diagnostic image quality, simple methods could help reduce CT radiation exposure.
Clinically superior mean outcome measures with IDB and conservative medical management.
Findings show improvement in short-term function, short- and long-term current and most severe pain.
Have you seen the "power of suggestion" provide relief to patients in chronic pain?
New data suggests a decline in emergency room opioid prescribing rates.
Clinical Pain Advisor Articles
- Yoga Noninferior to Physical Therapy for Chronic Low Back Pain
- Strategies to Curb the Opioid Epidemic: A National Academies Report
- Nerve Blocks Reduce Acute and Chronic Pain After Inguinal Hernia Repair
- Morphine Microdose Therapy Safe, Effective in Chronic Non-Cancer Pain
- Majority of Opioid Rx for Patients With Mental Disorders