Search results for "Back pain"
Use of chiropractors and occupational, physical therapy for low back pain uncommon, despite guidelines
While clinical practice guidelines encourage nonpharmacologic treatments as first-line therapy for low back pain, fewer than a third of patients used chiropractic care or occupational or physical therapy for this problem in 2002 to 2018.
https://immattersacp.org/weekly/archives/2023/10/31/4.htm
31 Oct 2023
No easy ‘off switch’ for low back pain
There's no easy way to cure low back pain, but recommending a mix of therapies along with a dose of reassurance can often provide patients a measure of relief.
https://immattersacp.org/archives/2022/11/no-easy-off-switch-for-low-back-pain.htm
1 Nov 2022
Adding psychological interventions to physical therapy for low back pain may boost effectiveness
The authors of a new systematic review urge clinicians to consider strategies that promote both structured exercise and psychological interventions, such as pain education, for patients with chronic, nonspecific low back pain.
https://immattersacp.org/weekly/archives/2022/04/05/4.htm
5 Apr 2022
Mixing and matching can work for back pain
This issue details management of back pain, a forum on monkeypox, and pearls about diagnosing delirium.
https://immattersacp.org/archives/2022/11/mixing-and-matching-can-work-for-back-pain.htm
1 Nov 2022
Little evidence exists to support antispasmodics for low back pain
According to a new systematic review, the effects of nonbenzodiazepine antispasmodics on low back pain are likely not great enough to be clinically important, and the drugs could increase the risk of an adverse event.
https://immattersacp.org/weekly/archives/2021/07/13/4.htm
13 Jul 2021
Nonopioids effective for acute low back pain, review finds
Myorelaxants and NSAIDs with or without acetaminophen were all effective at reducing pain and disability from acute, nonspecific low back pain lasting less than 12 weeks, according to an analysis of 18 randomized controlled trials, although the authors stressed that medications for this condition should always be a second-line strategy.
https://immattersacp.org/weekly/archives/2023/02/28/1.htm
28 Feb 2023
Integrative medicine makes gains in back pain
An ACP clinical practice guideline officially recommended noninvasive and nonpharmacologic treatments for patients with acute low back pain who are not at risk for serious underlying conditions.
https://immattersacp.org/archives/2017/10/integrative-medicine-makes-gains-in-back-pain.htm
1 Oct 2017
MKSAP Quiz: Evaluation for low back pain
A 47-year-old man is evaluated for low back pain. The pain began 5 days ago while he was playing basketball. It is localized to the lumbar back and does not radiate. The patient is unable to sit or stand for long periods, but the pain improves when lying down. After a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/05/17/4.htm
17 May 2022
‘New narrative’ for back pain means managing modalities
New modalities to treat low back pain can include alternative treatments like mindfulness meditation, acupuncture, mindful stress reduction, tai chi, yoga, and cognitive behavioral therapy.
https://immattersacp.org/archives/2018/05/new-narrative-for-back-pain-means-managing-modalities.htm
1 May 2018
‘Considerable uncertainty’ surrounds efficacy, safety of analgesics for low back pain
A systematic review and meta-analysis of 98 randomized controlled trials found little high-certainty evidence on the comparative effectiveness and safety of analgesics for acute nonspecific low back pain.
https://immattersacp.org/weekly/archives/2023/03/28/1.htm
28 Mar 2023