Low Back Pain

Stat Consult: Chronic Low Back Pain

Stat Consult: Chronic Low Back Pain

Chronic low back pain (LBP) defined as persistent or fluctuating musculoskeletal pain of lower back and lumbar spine lasting >3 months.

Are Anticonvulsants Effective for Low Back Pain?

Are Anticonvulsants Effective for Low Back Pain?

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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.

Adding Chiropractic Care to Usual Care for Treating Acute Low Back Pain

Adding Chiropractic Care to Usual Care for Treating Acute Low Back Pain

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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.

Overuse and Underuse of Imaging Common in Low Back Pain Management

Overuse and Underuse of Imaging Common in Low Back Pain Management

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Imaging for low back pain may commonly be overused, but also underused.

Adding Chiropractic to Usual Care Beneficial for Low Back Pain

Adding Chiropractic to Usual Care Beneficial for Low Back Pain

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.

Telehealth-Delivered Behavioral Therapy, Supportive Care Beneficial for Low Back Pain

Telehealth-Delivered Behavioral Therapy, Supportive Care Beneficial for Low Back Pain

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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.

Stages of Low Back Pain Have Specific Sets of Clinical Indicators

Stages of Low Back Pain Have Specific Sets of Clinical Indicators

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Burning and prickling sensations, in addition to pressure pain and pain attacks, may serve as indicators of chronicity in low back pain.

Opioid Use in Chronic Low Back Pain: A Population Study

Opioid Use in Chronic Low Back Pain: A Population Study

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The most common prescription drug in US adults with chronic low back pain are opioids.

Combining Spinal Manipulation and Exercise for Low Back Pain in Adolescents

Combining Spinal Manipulation and Exercise for Low Back Pain in Adolescents

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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.

Prevalence and Predictors of Pain in COPD

Prevalence and Predictors of Pain in COPD

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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 and Health-Related Quality of Life in Chronic Low Back Pain

Somatic Symptom Burden and Health-Related Quality of Life in Chronic Low Back Pain

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Somatic symptom burden may affect health-related quality of life in patients with chronic low back pain.

Many Patients Receive Inappropriate Tests, Treatments for Low Back Pain

Many Patients Receive Inappropriate Tests, Treatments for Low Back Pain

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More emphasis should be placed on self-management, physical and psychological therapies for treating low back pain, rather than pharmacological or surgical treatments.

Prediction Model Shows Accuracy in Estimating Outcomes After Low Back Surgery

Prediction Model Shows Accuracy in Estimating Outcomes After Low Back Surgery

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A multivariable prediction model for outcome after lower back surgery may reliably predict 12-month improvements.

Low Back Pain: Contributing Factors, Prophylactic Strategies, and Effective Treatments

Low Back Pain: Contributing Factors, Prophylactic Strategies, and Effective Treatments

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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 Pain

Risks Associated With Intra-Articular Lumbar Facet Joint Injections of Triamcinolone Acetonide for Low Back Pain

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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 Effectively Relieve Low Back Pain

Transcutaneous Electrical Nerve Stimulation May Not Effectively Relieve Low Back Pain

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Transcutaneous electrical nerve stimulation may not provide relief from lower back pain, but may be associated with short-term improvement in functional disability.

Utility of Quantitative Sensory Testing for Predicting Drug Efficacy in Chronic Low Back Pain

Utility of Quantitative Sensory Testing for Predicting Drug Efficacy in Chronic Low Back Pain

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Results from thermal quantitative sensory testing may be associated with the efficacy of imipramine for pain relief in patients with chronic low back pain.

Denosumab, Zoledronic Acid May Effectively Relieve Modic Change-Related Low Back Pain

Denosumab, Zoledronic Acid May Effectively Relieve Modic Change-Related Low Back Pain

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Denosumab and zoledronic acid may be effective in relieving Modic change-related low back pain in patients ≥40 years.

Core Muscle Weakness Inceases Spinal Loading, May Lead to Low Back Pain in Runners

Core Muscle Weakness Inceases Spinal Loading, May Lead to Low Back Pain in Runners

In the presence of complete deep core muscle weakness, there is an increase in peak anterior shear loading on all lumbar vertebrae during running.

CT-Pulsed Radiofrequency May Be Effective for Acute Neuroradicular Low Back Pain

CT-Pulsed Radiofrequency May Be Effective for Acute Neuroradicular Low Back Pain

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Computed tomography-pulsed radiofrequency may represent an effective management strategy for patients with acute neuroradicular low back pain refractory to standard therapies

Perturbation-Based Rehabilitation Effective for Chronic Low Back Pain

Perturbation-Based Rehabilitation Effective for Chronic Low Back Pain

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Variable and unpredicted perturbations to the spine may lead to increased muscle strength and pain reduction in patients with chronic nonspecific low back pain.

Sacroiliac Joint Fusion for Related Chronic Low Back Pain

Sacroiliac Joint Fusion for Related Chronic Low Back Pain

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Sacroiliac joint fusion and triangular titanium implants are associated with higher pain relief and greater reductions in disability than conservative management in patients with sacroiliac joint-related chronic low back pain.

New Opioid Analgesic NKTR-181 Safe, Efficacious for Low Back Pain

New Opioid Analgesic NKTR-181 Safe, Efficacious for Low Back Pain

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NKTR-181 was found to be safe and effective in patients with low back pain.

Low Back Pain Relieved with Dorsal Root Ganglion Stimulation

Low Back Pain Relieved with Dorsal Root Ganglion Stimulation

For patients with discogenic low back pain due to failed back surgery syndrome, dorsal root ganglion stimulation is associated with pain relief.

Pilates Effective in Alleviating Chronic Low Back Pain

Pilates Effective in Alleviating Chronic Low Back Pain

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Pilates may represent an effective therapy for the management of chronic lower back pain.

Yoga Improves Health Outcomes in Veterans With Chronic Low Back Pain

Yoga Improves Health Outcomes in Veterans With Chronic Low Back Pain

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Yoga improved health outcomes in military veterans with chronic low back pain, including lowering their pain intensity.

Radiofrequency Denervation Ineffective for Chronic Low Back Pain

Radiofrequency Denervation Ineffective for Chronic Low Back Pain

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Radiofrequency denervation may be ineffective in alleviating chronic low back pain.

Nerve Injury CSF Biomarker for Degenerative Disc Disease-Related Low Back Pain

Nerve Injury CSF Biomarker for Degenerative Disc Disease-Related Low Back Pain

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The cerebrospinal fluid of patients with vs without intervertebral disc degeneration with and without low back pain was shown to differentially express proteins involved in inflammation and nerve injury.

Yoga Noninferior to Physical Therapy for Chronic Low Back Pain

Yoga Noninferior to Physical Therapy for Chronic Low Back Pain

Yoga was deemed noninferior to physical therapy for the treatment of patients with chronic low back pain.

Opioid Prescription Patterns in Patients With Back Pain and Depression

Opioid Prescription Patterns in Patients With Back Pain and Depression

Patients with low back pain who are depressed are more likely to be prescribed opioids, and to be prescribed higher doses.

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