Low Back Pain
Two screening tools, the STarT Back Screening Tool and the Örebro Musculoskeletal Pain Questionnaire, may be useful in predicting the transition from subacute and acute to chronic low back pain.
Medicaid, commercial, and Medicare Advantage consistently cover physical, occupational, and chiropractic therapy for chronic noncancer low back pain, but not other options, including acupuncture or psychological therapies for low back pain.
Low dose amitriptyline may represent an effective alternative to opioid medications for the treatment of chronic low back pain.
Investigators aimed to determine the prevalence of lower back pain in patients with Parkinson disease.
An estimated 31 million Americans will experience low back pain at some point in their lifetime.
An investigational treatment - CAM2038 (Braeburn) - currently under review for the treatment of moderate-to-severe opioid use disorder, has demonstrated a reduction in Chronic Low Back Pain (CLBP) compared to placebo in patients previously on long-term daily opioid therapy.
Twelve weeks of spinal manipulative therapy combined with exercise therapy is more effective than ET alone over a one-year period for adolescents with chronic low back pain.
Differences exist in race and gender in patients with chronic lower back pain, especially in pain sensitivity and severity due to aftersensations from mechanical punctuate pain and deep muscle hyperalgesia.
The presence of anxiety and depression in individuals with chronic low back pain may be associated with higher pain severity and disability.
Utilization management strategies for opioid and nonopioid medications in low back pain, including quantity limits and prior authorization, were found to be commonly used in Medicaid, Medicare Advantage, and commercial insurance plans.
This novel agent has low permeability across the blood-brain barrier, which slows its rate of entry into the brain and reduces dopamine release.
There is a lack of evidence supporting the benefits of combination drug therapy over monotherapy for the management of low back pain and sciatica.
Anticonvulsant drugs are ineffective for chronic low back pain and can cause harm, despite a recent increase in prescribing.
Chronic low back pain (LBP) defined as persistent or fluctuating musculoskeletal pain of lower back and lumbar spine lasting >3 months.
For this review, the authors searched 5 large databases for studies that compared the use of anticonvulsants (i.e., topiramate, gabapentin, pregabalin) in adult patients with LBP, sciatica, or neurogenic claudication with placebo.
A combination of usual medical care and chiropractic care may be more effective than usual care alone in treating acute low back pain and associated disability in active-duty military personnel.
Imaging for low back pain may commonly be overused, but also underused.
For active-duty military personnel, the addition of chiropractic care to usual medical care is associated with improvements in low back pain intensity and disability.
Cognitive behavioral therapy and supportive care psychotherapy, both delivered by nurses over the telephone, may offer comparable benefits for the management of chronic back pain.
Burning and prickling sensations, in addition to pressure pain and pain attacks, may serve as indicators of chronicity in low back pain.
The most common prescription drug in US adults with chronic low back pain are opioids.
A combination of self-care education, aerobic and strength-training exercise, and spinal manipulation therapy may provide greater pain relief and improved treatment satisfaction compared with exercise only in adolescents with low back pain.
Patients with chronic obstructive pulmonary disease (COPD) may be more likely to experience chronic neck pain, lower back pain and migraine than individuals without COPD.
Somatic symptom burden may affect health-related quality of life in patients with chronic low back pain.
More emphasis should be placed on self-management, physical and psychological therapies for treating low back pain, rather than pharmacological or surgical treatments.
A multivariable prediction model for outcome after lower back surgery may reliably predict 12-month improvements.
A Lancet series of articles outlines the array of factors that contribute to low back pain and presents effective prophylactic strategies and treatment options for the condition.
Risks Associated With Intra-Articular Lumbar Facet Joint Injections of Triamcinolone Acetonide for Low Back PainMarch 14, 2018
The long half-life of triamcinolone and its cortisol-suppressing effects may increase the risk for serious drug-drug interactions in patients treated with facet joint steroid injections for chronic low back pain who take medications with an inhibitory effect on corticosteroid metabolism.
Transcutaneous electrical nerve stimulation may not provide relief from lower back pain, but may be associated with short-term improvement in functional disability.
Results from thermal quantitative sensory testing may be associated with the efficacy of imipramine for pain relief in patients with chronic low back pain.
Clinical Pain Advisor Articles
- Two Screening Tools May Accurately Predict Transition From Acute to Chronic Low Back Pain
- Predicting the Magnitude of Placebo Analgesia in Chronic Pain
- Operant Learning May Provide More Benefits Than Energy Conservation in Fibromyalgia
- Methamphetamine Use on the Rise in Patients With Opioid Use Disorder
- Tools to Address the Opioid Crisis
- The Unintended Consequences of the CDC Opioid Guideline According to Pain Management Specialists
- Initial Consultation for Neck Pain May Reduce Opioid Consumption, Healthcare Utilization
- FDA-Approved Test Provides Pharmacogenetic Reports Directly to Consumers
- Set of Interventions May Effectively Reduce Opioid Overprescribing
- Cannabinoid-Associated Analgesia May Be Mediated Through Modulation of Affective Processes
- Nonsinogenic Headache vs Chronic Rhinosinusitis Differential Diagnosis Based on SNOT-22 Patterns
- Patterns of Non-Medical Prescription Opioid Use in Adolescents
- Factors Promoting Participation in Self-Management Training Program for Chronic Pain
- Gendered Perceptions of Socially Acceptable Pain Relief Strategies
- Majority of Internists Still Have Financial Ties to Industry