Low Back Pain

Pain Education May Not Improve Acute Low Back Pain

Pain Education May Not Improve Acute Low Back Pain

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The addition of a 2-hour patient education sessions to first-line care may not benefit patients with acute low back pain.

Transcranial Direct Current Stimulation Effective on Function, Distress, Depression in Chronic Low Back Pain

Transcranial Direct Current Stimulation Effective on Function, Distress, Depression in Chronic Low Back Pain

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Transcranial direct current stimulation of the left dorsal anterior cingulate cortex may be associated with improvements in pain-related function, distress, and depression in patients with chronic low back pain

Two Screening Tools May Accurately Predict Transition From Acute to Chronic Low Back Pain

Two Screening Tools May Accurately Predict Transition From Acute to Chronic Low Back Pain

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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.

Analyzing Coverage of Nonpharmacologic Treatments for Low Back Pain

Analyzing Coverage of Nonpharmacologic Treatments for Low Back Pain

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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 Be Effective in Reducing Low Back Pain Intensity and Disability

Low-Dose Amitriptyline May Be Effective in Reducing Low Back Pain Intensity and Disability

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Low dose amitriptyline may represent an effective alternative to opioid medications for the treatment of chronic low back pain.

Low Back Pain Common in the Progression of Parkinson Disease

Low Back Pain Common in the Progression of Parkinson Disease

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Investigators aimed to determine the prevalence of lower back pain in patients with Parkinson disease.

Current Guidelines for Management of Low Back Pain

Current Guidelines for Management of Low Back Pain

An estimated 31 million Americans will experience low back pain at some point in their lifetime.

Investigational Treatment Shows Promise in Chronic Low Back Pain

Investigational Treatment Shows Promise in Chronic Low Back Pain

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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.

Spinal Manipulation Plus Exercise Effective for Teen Low Back Pain

Spinal Manipulation Plus Exercise Effective for Teen Low Back Pain

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.

Chronic Low Back Pain Levels Vary Between Sex and Race

Chronic Low Back Pain Levels Vary Between Sex and Race

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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.

Anxiety and Depression May Affect Treatment Outcomes for Chronic Low Back Pain

Anxiety and Depression May Affect Treatment Outcomes for Chronic Low Back Pain

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The presence of anxiety and depression in individuals with chronic low back pain may be associated with higher pain severity and disability.

Opioid, Nonopioid Utilization Management for Low Back Pain Prevalent in Major Health Plans

Opioid, Nonopioid Utilization Management for Low Back Pain Prevalent in Major Health Plans

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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.

FDA to Review Novel Opioid Analgesic for Chronic Low Back Pain

FDA to Review Novel Opioid Analgesic for Chronic Low Back Pain

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This novel agent has low permeability across the blood-brain barrier, which slows its rate of entry into the brain and reduces dopamine release.

Combination Therapies for Low Back Pain, Sciatica May Not Have Added Benefit

Combination Therapies for Low Back Pain, Sciatica May Not Have Added Benefit

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There is a lack of evidence supporting the benefits of combination drug therapy over monotherapy for the management of low back pain and sciatica.

Anticonvulsants Seem to Be Ineffective for Low Back Pain

Anticonvulsants Seem to Be Ineffective for Low Back Pain

Anticonvulsant drugs are ineffective for chronic low back pain and can cause harm, despite a recent increase in prescribing.

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.

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.

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.

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