Back Pain

Tobacco Users More Likely to Be Co-Prescribed Opioids With Benzodiazepines, Muscle Relaxants

Tobacco Users More Likely to Be Co-Prescribed Opioids With Benzodiazepines, Muscle Relaxants

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Patients with non-cancer back or neck pain who use vs do not use tobacco may be more likely to be concurrently prescribed opioid analgesics with muscle relaxants and/or benzodiazepines.

Color Doppler Ultrasound for the Diagnosis of Sacroiliitis in Inflammatory Back Pain

Color Doppler Ultrasound for the Diagnosis of Sacroiliitis in Inflammatory Back Pain

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Color Doppler ultrasound may represent an appropriate tool for the diagnosis of sacroiliitis in patients presenting with inflammatory back pain.

Multi-Site Pain Common in Adults With Persistent Back Pain

Multi-Site Pain Common in Adults With Persistent Back Pain

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Multi-site pain was found to be common in older adults with persistent back pain and be associated with greater back pain intensity and poorer quality of life.

Depression Comorbidity Associated With Greater Healthcare Expenditures in Back Pain

Depression Comorbidity Associated With Greater Healthcare Expenditures in Back Pain

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Patients with spondylosis, intervertebral disk disorders, and other back issues and comorbid depression may have greater healthcare expenditures than those without the comorbidity.

Chronic Spinal Pain and Depression:  Does One Represent a Risk Factor for the Other?

Chronic Spinal Pain and Depression: Does One Represent a Risk Factor for the Other?

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Chronic spinal pain and depressive disorders — particularly chronic depression — may each represent a risk factor for the other condition.

Persistent Back Pain Linked to Earlier Mortality in Older Women

Persistent Back Pain Linked to Earlier Mortality in Older Women

Frequent persistent back pain is associated with increased mortality in older women.

Manual Therapy vs Opioids for Management of Shoulder, Spine Pain

Manual Therapy vs Opioids for Management of Shoulder, Spine Pain

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Choosing — or starting treatment with — manual therapy over opioid medications for the management of spine or shoulder may result in lower associated downstream costs.

Payer Policies May Discourage Non-Pharmacologic Treatments for Low Back Pain

Payer Policies May Discourage Non-Pharmacologic Treatments for Low Back Pain

There is a need for public and private insurers to broaden their coverage policies for non-drug pain treatments for low back pain.

Graded In Vivo Exposure Elements May Benefit Chronic Lower Back Pain Management

Graded In Vivo Exposure Elements May Benefit Chronic Lower Back Pain Management

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Integrating graded in vivo exposure into the management of chronic lower back pain may result in improved treatment efficacy and reduced pain-related fear.

NKTR-181 for Chronic Lower Back Pain:  SUMMIT-07 Results

NKTR-181 for Chronic Lower Back Pain: SUMMIT-07 Results

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The phase 3 SUMMIT-07 trial assessed the safety, efficacy, and tolerability of a new mu-opioid receptor agonist analgesic in adults with moderate to severe chronic lower back pain.

Coverage Policies Compared for Back Pain Medications

Coverage Policies Compared for Back Pain Medications

Utilization management common for opioids; often relies on 30-day limits rather than prior authorization

Pain Neuroscience Education May Improve Kinesiophobia in Chronic Spinal Pain

Pain Neuroscience Education May Improve Kinesiophobia in Chronic Spinal Pain

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Pain neuroscience education in patients with chronic spinal pain may improve kinesiophobia and the perceived negative consequences and cyclicity of illness.

Standardized SCS Workflow May Effectively Alleviate Failed Back Surgery Syndrome-Related Pain

Standardized SCS Workflow May Effectively Alleviate Failed Back Surgery Syndrome-Related Pain

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A novel standardized spinal cord stimulation workflow may effectively and consistently alleviate back and leg pain associated with Failed Back Surgery Syndrome.

Mechanical Plus Chemical Adhesiolysis During Epiduroscopy After Failed Spine Surgery

Mechanical Plus Chemical Adhesiolysis During Epiduroscopy After Failed Spine Surgery

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Administration of hyaluronidase and corticosteroid methylprednisolone acetate to the epidural space during epiduroscopy for failed back surgery-related radicular pain may improve back pain and disability at 1 year.

Discectomy for Lumbar Disc Herniation Improves Associated Back Pain

Discectomy for Lumbar Disc Herniation Improves Associated Back Pain

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Patients with a lumbar disc herniation and associated back pain may experience improvements in back pain, leg pain, and disability 12 months after single- or 2-level lumbar discectomy.

Postpartum Abdominoplasty Improves Back Pain, Incontinence

Postpartum Abdominoplasty Improves Back Pain, Incontinence

Abdominoplasty in the postpartum population improves low back pain and urinary incontinence.

Examining Progression From Inflammatory Back Pain to Spondyloarthritis

Examining Progression From Inflammatory Back Pain to Spondyloarthritis

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Less than one-third of patients with new-onset inflammatory back pain were found to progress to spondyloarthritis during a 13-year period, while most resolved to inflammatory back pain.

Energetic Cost of Walking, Walking Endurance in Elderly With Lumbopelvic Pain

Energetic Cost of Walking, Walking Endurance in Elderly With Lumbopelvic Pain

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Lumbopelvic pain in well-functioning older adults was found to be associated with greater walking-related energy expenditure and reduced walking endurance compared with individuals without lumbopelvic pain.

Transforaminal Epidural Steroid Injections Effective for Pain Relief in Lumbar Foraminal Spinal Stenosis

Transforaminal Epidural Steroid Injections Effective for Pain Relief in Lumbar Foraminal Spinal Stenosis

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Transforaminal epidural steroid injections may be more effective in relieving pain in patients with mild to moderate vs severe lower extremity radicular pain associated with lumbar foraminal spinal stenosis.

Back Pain in Chronic and Episodic Headache

Back Pain in Chronic and Episodic Headache

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Individuals with chronic headache and episodic headache may have a higher prevalence of back pain compared with patients with no headache, and back pain may be associated with lower cephalic and extracephalic pressure pain thresholds in patients with chronic vs episodic headache or no headache.

USPSTF Updates Recommendations on Screening for Adolescent Idiopathic Scoliosis

USPSTF Updates Recommendations on Screening for Adolescent Idiopathic Scoliosis

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The US Preventive Services Task Force has updated its recommendations on screening for idiopathic scoliosis in asymptomatic adolescents.

Milwaukee Brace for Adolescent Scoliosis Associated With Long-Term Back Pain

Milwaukee Brace for Adolescent Scoliosis Associated With Long-Term Back Pain

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Women who were treated as adolescents with a restrictive Milwaukee brace during adolescence may be at higher risk for experiencing low back pain and neck-related disabilities in adulthood.

Joint and Back Pain May Not Be Associated With Rainfall

Joint and Back Pain May Not Be Associated With Rainfall

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Rainfall may not be associated with joint or back pain in older Medicare beneficiaries.

Chronic Back, Neck Pain Linked to Prior Mental Disorders

Chronic Back, Neck Pain Linked to Prior Mental Disorders

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Mental disorders are positively associated with subsequent self-reported chronic back and/or neck pain, with a clear dose-response relationship between the number of mental disorders and subsequent pain.

Clinician Predictors of Low-Value Imaging to Guide Intervention Targets

Clinician Predictors of Low-Value Imaging to Guide Intervention Targets

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Several strong clinician predictors of low-value imaging, such as ordering low-value imaging on a prior patient, high rates of low-value imaging in another clinical scenario, and ownership of imaging equipment, can help guide intervention targets to improve the value of care for patients.

Radiofrequency Denervation May Provide Substantive Relief for Thoracic Facet Joint Pain

Radiofrequency Denervation May Provide Substantive Relief for Thoracic Facet Joint Pain

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Radiofrequency denervation of thoracic facet joints may provide pain relief comparable to that achieved for cervical and lumbar facet joints.

Telephone-Based vs In-Person CBT for Chronic Back Pain

Telephone-Based vs In-Person CBT for Chronic Back Pain

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Interactive voice response-based CBT is as effective as in-person CBT for patients with chronic back pain.

Little Benefits of NSAIDs for Back Pain

Little Benefits of NSAIDs for Back Pain

NSAIDs do not help most patients with back pain, according to a review published in the Annals of the Rheumatic Diseases.

Superior Pain Relief With High-Frequency Spine Stimulation

Superior Pain Relief With High-Frequency Spine Stimulation

The Senza system reduced back pain an average of 5 points, compared to 3 points for traditional stimulation.

Osteopathic Manipulation for Postpartum Pain

Osteopathic Manipulation for Postpartum Pain

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These findings lay the groundwork for further consideration of OMT as a supplementary approach to standard care.

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